Objective: This is a 17-year-old patient with no known history who had consulted the ENT department of the CHU-Gabriel Touré for persistent obstruction of the right nose. Its clinical history dates back to approximately 03 years, marked by a unilateral right nasal obstruction of progressive installation and permanent evolution associated with purulent posterior rhinorrhea, anosmia, right hypoacusis, headaches in helmet and an alteration of the state. general. There was no notion of cough, evening fever or epistaxis. These symptoms motivated several unspecified treatments without improvement. Before the onset of ptosis and ipsilateral blindness, he consulted us for support. We noted on otoscopy a dull right eardrum with a hearing loss of 25 decibels (db). Ophthalmological examination showed ptosis, ophthalmoplegia and blindness on the right side. Nasofibroscopy revealed a budding lesion taking up the entire right half of the roof of the nasopharynx filling the Rosenmüller fossa. There was no palpable cervical adenopathy. HIV serology was negative. Maxillofacial computed tomography revealed a rectilinear nasal sinus osteolytic expansive tumoral process extending to the optic nerve as well as to the oculomotor muscles with grade II proptosis (figure 1). Two repeated biopsies of the lesion found tuberculosis in front of a gigantocellular epithelioid granuloma with caseous necrosis. Intradermal tuberculin reaction and AFB sputum became negative. The chest X-ray was normal. We carried out the surgical excision of the lesion and the diagnosis of tuberculosis was confirmed by the anatomopathological examination. The patient was placed under anti-tuberculosis verification according to the 2RHZE / 4RH Protocol. The evolution was favorable after two months with normalization of the signs on nasofibroscopy.
| Published in | International Journal of Otorhinolaryngology (Volume 8, Issue 1) |
| DOI | 10.11648/j.ijo.20220801.12 |
| Page(s) | 14-16 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2022. Published by Science Publishing Group |
Primary Tuberculosis, Cavum, Carcinoma
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| [7] | Lecointre F, Marandas P, Micheau C, Lacombe H, Schwaab G, Cachin Y. Tuberculosis of the mucous membranes of the VADS: clinical study on 37 cases followed at IIGR. Ann Otolaryngol Chir Cervicofac 1980; 97 (6): 423-33. |
| [8] | S. A. Ebongue. Tuberculosis of the cavum: about 11 cases. rev. respiratory diseases 2012; 29 (1): 117, doi: 10.1016/j.rmr.2011.10.386. |
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APA Style
N’faly Konaté, Kassim Diarra, Drissa Kaloga Bagayoko, Sidibé Youssouf, Keïta Mohamed. (2022). Primitive Cavum Tuberculosis: An Unusual Location of Mycobacteria. International Journal of Otorhinolaryngology, 8(1), 14-16. https://doi.org/10.11648/j.ijo.20220801.12
ACS Style
N’faly Konaté; Kassim Diarra; Drissa Kaloga Bagayoko; Sidibé Youssouf; Keïta Mohamed. Primitive Cavum Tuberculosis: An Unusual Location of Mycobacteria. Int. J. Otorhinolaryngol. 2022, 8(1), 14-16. doi: 10.11648/j.ijo.20220801.12
AMA Style
N’faly Konaté, Kassim Diarra, Drissa Kaloga Bagayoko, Sidibé Youssouf, Keïta Mohamed. Primitive Cavum Tuberculosis: An Unusual Location of Mycobacteria. Int J Otorhinolaryngol. 2022;8(1):14-16. doi: 10.11648/j.ijo.20220801.12
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Download@article{10.11648/j.ijo.20220801.12,
author = {N’faly Konaté and Kassim Diarra and Drissa Kaloga Bagayoko and Sidibé Youssouf and Keïta Mohamed},
title = {Primitive Cavum Tuberculosis: An Unusual Location of Mycobacteria},
journal = {International Journal of Otorhinolaryngology},
volume = {8},
number = {1},
pages = {14-16},
doi = {10.11648/j.ijo.20220801.12},
url = {https://doi.org/10.11648/j.ijo.20220801.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijo.20220801.12},
abstract = {Objective: This is a 17-year-old patient with no known history who had consulted the ENT department of the CHU-Gabriel Touré for persistent obstruction of the right nose. Its clinical history dates back to approximately 03 years, marked by a unilateral right nasal obstruction of progressive installation and permanent evolution associated with purulent posterior rhinorrhea, anosmia, right hypoacusis, headaches in helmet and an alteration of the state. general. There was no notion of cough, evening fever or epistaxis. These symptoms motivated several unspecified treatments without improvement. Before the onset of ptosis and ipsilateral blindness, he consulted us for support. We noted on otoscopy a dull right eardrum with a hearing loss of 25 decibels (db). Ophthalmological examination showed ptosis, ophthalmoplegia and blindness on the right side. Nasofibroscopy revealed a budding lesion taking up the entire right half of the roof of the nasopharynx filling the Rosenmüller fossa. There was no palpable cervical adenopathy. HIV serology was negative. Maxillofacial computed tomography revealed a rectilinear nasal sinus osteolytic expansive tumoral process extending to the optic nerve as well as to the oculomotor muscles with grade II proptosis (figure 1). Two repeated biopsies of the lesion found tuberculosis in front of a gigantocellular epithelioid granuloma with caseous necrosis. Intradermal tuberculin reaction and AFB sputum became negative. The chest X-ray was normal. We carried out the surgical excision of the lesion and the diagnosis of tuberculosis was confirmed by the anatomopathological examination. The patient was placed under anti-tuberculosis verification according to the 2RHZE / 4RH Protocol. The evolution was favorable after two months with normalization of the signs on nasofibroscopy.},
year = {2022}
}
TY - JOUR T1 - Primitive Cavum Tuberculosis: An Unusual Location of Mycobacteria AU - N’faly Konaté AU - Kassim Diarra AU - Drissa Kaloga Bagayoko AU - Sidibé Youssouf AU - Keïta Mohamed Y1 - 2022/05/31 PY - 2022 N1 - https://doi.org/10.11648/j.ijo.20220801.12 DO - 10.11648/j.ijo.20220801.12 T2 - International Journal of Otorhinolaryngology JF - International Journal of Otorhinolaryngology JO - International Journal of Otorhinolaryngology SP - 14 EP - 16 PB - Science Publishing Group SN - 2472-2413 UR - https://doi.org/10.11648/j.ijo.20220801.12 AB - Objective: This is a 17-year-old patient with no known history who had consulted the ENT department of the CHU-Gabriel Touré for persistent obstruction of the right nose. Its clinical history dates back to approximately 03 years, marked by a unilateral right nasal obstruction of progressive installation and permanent evolution associated with purulent posterior rhinorrhea, anosmia, right hypoacusis, headaches in helmet and an alteration of the state. general. There was no notion of cough, evening fever or epistaxis. These symptoms motivated several unspecified treatments without improvement. Before the onset of ptosis and ipsilateral blindness, he consulted us for support. We noted on otoscopy a dull right eardrum with a hearing loss of 25 decibels (db). Ophthalmological examination showed ptosis, ophthalmoplegia and blindness on the right side. Nasofibroscopy revealed a budding lesion taking up the entire right half of the roof of the nasopharynx filling the Rosenmüller fossa. There was no palpable cervical adenopathy. HIV serology was negative. Maxillofacial computed tomography revealed a rectilinear nasal sinus osteolytic expansive tumoral process extending to the optic nerve as well as to the oculomotor muscles with grade II proptosis (figure 1). Two repeated biopsies of the lesion found tuberculosis in front of a gigantocellular epithelioid granuloma with caseous necrosis. Intradermal tuberculin reaction and AFB sputum became negative. The chest X-ray was normal. We carried out the surgical excision of the lesion and the diagnosis of tuberculosis was confirmed by the anatomopathological examination. The patient was placed under anti-tuberculosis verification according to the 2RHZE / 4RH Protocol. The evolution was favorable after two months with normalization of the signs on nasofibroscopy. VL - 8 IS - 1 ER -
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