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Tuberculosis of the Tonsil: Extensive Pulmonary Tuberculosis Presenting as a Sore Throat

Tuberculosis of the Tonsil: Extensive Pulmonary Tuberculosis Presenting as a Sore Throat Abstract PRIMARY active tuberculosis of the tonsil is rare, and cases secondary to tuberculosis elsewhere in the body are indeed uncommon. When the latter does occur, however, the patient's pulmonary infection has already been discovered in virtually all cases. Very rarely will a physician encounter a patient whose only complaint is sore throat, in whom the sore throat is the first intimation of extensive pulmonary tuberculosis. Our report describes such a case. We believe it to be of interest because of the rarity of the condition and the diagnostic problem it presents. It emphasizes the importance of a thorough physical examination in a patient whose localized disease does not respond to seemingly appropriate treatment. Report of a Case The patient is a 30-year-old Caucasian housewife. Shortly after arriving in the Canal Zone from Kentucky she developed a sore throat. This became progressively worse, and she sought medical attention one month later. References 1. Virchow, cited by Weller, C.V.: The Incidence and Histopathology of Tuberculosis of the Tonsils Based on 8,600 Tonsillectomies , Arch Intern Med 27:631, 1921.Crossref 2. Cornil, cited by Rosencrantz, E., and Hurwitz, S.: T uberculosis of the Tonsils , Amer Rev Tuberculosis 43:308, 1941. 3. Dieulafoy, cited by Rosencrantz, E., and Hurwitz, S.: Tuberculosis of the Tonsils , Amer Rev Tuberculosis 43:308, 1941. 4. Aronheim, J.H.: Tuberculous Tonsillitis: A Clinical Pathological Study Based on 782 Tonsillectomies , Laryngoscope 48:749, 1938. 5. Mullen, W.W.: An Analysis of Some Cases of Tubercles in the Tonsil , JAMA 80:1211, 1923.Crossref 6. Clark, H.C.: The Incidence of Tonsillar Tuberculosis, read before the Medical Association of the Isthmian Canal Zone, Aug 17, 1922. 7. Wood, G.B.: The Significance of Tuberculous Deposits in the Tonsils , JAMA 44:1425, 1905.Crossref 8. Weller, C.V.: The Incidence and Histopathology of Tuberculosis of the Tonsils Based on 8,600 Tonsillectomies , Arch Intern Med 27:631, 1921.Crossref 9. Rather, L.J.: Tuberculosis of the Tonsils , Amer J Path 19:725, 1943. 10. Long, E.R.; Seibert, M.V.; and Gonzalez, L.M.: Tuberculosis of the Tonsils , Arch Intern Med 63:609, 1939.Crossref 11. Newhart, H.; Cohen, S.; and Van Winkle, C.: Tonsillectomy in the Tuberculous , Ann Otol 43:769, 1934. 12. de Martini, R., cited by Spencer, F.R.: A Review of Articles on Tuberculosis in the Field of Otolaryngology, Chiefly for Late 1940 and Early 1941 , Laryngoscope 52:1, 1942. 13. Myerson, M.C., in Coates, G.M., and Schenck, H.P.: Otolaryngology , Hagerstown: W. F. Prior Co., Inc., 1960, pp 10, 14. 14. Capó Cisneros, O.: Tuberculosis Faringea, Localizaciones, Síntomas, Patogenía y Prognostico , Rev Cubana Tuberculosis , vol 11, No. (2) -3-4, 1947. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Tuberculosis of the Tonsil: Extensive Pulmonary Tuberculosis Presenting as a Sore Throat

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References (14)

Publisher
American Medical Association
Copyright
Copyright © 1966 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1966.00760030345016
Publisher site
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Abstract

Abstract PRIMARY active tuberculosis of the tonsil is rare, and cases secondary to tuberculosis elsewhere in the body are indeed uncommon. When the latter does occur, however, the patient's pulmonary infection has already been discovered in virtually all cases. Very rarely will a physician encounter a patient whose only complaint is sore throat, in whom the sore throat is the first intimation of extensive pulmonary tuberculosis. Our report describes such a case. We believe it to be of interest because of the rarity of the condition and the diagnostic problem it presents. It emphasizes the importance of a thorough physical examination in a patient whose localized disease does not respond to seemingly appropriate treatment. Report of a Case The patient is a 30-year-old Caucasian housewife. Shortly after arriving in the Canal Zone from Kentucky she developed a sore throat. This became progressively worse, and she sought medical attention one month later. References 1. Virchow, cited by Weller, C.V.: The Incidence and Histopathology of Tuberculosis of the Tonsils Based on 8,600 Tonsillectomies , Arch Intern Med 27:631, 1921.Crossref 2. Cornil, cited by Rosencrantz, E., and Hurwitz, S.: T uberculosis of the Tonsils , Amer Rev Tuberculosis 43:308, 1941. 3. Dieulafoy, cited by Rosencrantz, E., and Hurwitz, S.: Tuberculosis of the Tonsils , Amer Rev Tuberculosis 43:308, 1941. 4. Aronheim, J.H.: Tuberculous Tonsillitis: A Clinical Pathological Study Based on 782 Tonsillectomies , Laryngoscope 48:749, 1938. 5. Mullen, W.W.: An Analysis of Some Cases of Tubercles in the Tonsil , JAMA 80:1211, 1923.Crossref 6. Clark, H.C.: The Incidence of Tonsillar Tuberculosis, read before the Medical Association of the Isthmian Canal Zone, Aug 17, 1922. 7. Wood, G.B.: The Significance of Tuberculous Deposits in the Tonsils , JAMA 44:1425, 1905.Crossref 8. Weller, C.V.: The Incidence and Histopathology of Tuberculosis of the Tonsils Based on 8,600 Tonsillectomies , Arch Intern Med 27:631, 1921.Crossref 9. Rather, L.J.: Tuberculosis of the Tonsils , Amer J Path 19:725, 1943. 10. Long, E.R.; Seibert, M.V.; and Gonzalez, L.M.: Tuberculosis of the Tonsils , Arch Intern Med 63:609, 1939.Crossref 11. Newhart, H.; Cohen, S.; and Van Winkle, C.: Tonsillectomy in the Tuberculous , Ann Otol 43:769, 1934. 12. de Martini, R., cited by Spencer, F.R.: A Review of Articles on Tuberculosis in the Field of Otolaryngology, Chiefly for Late 1940 and Early 1941 , Laryngoscope 52:1, 1942. 13. Myerson, M.C., in Coates, G.M., and Schenck, H.P.: Otolaryngology , Hagerstown: W. F. Prior Co., Inc., 1960, pp 10, 14. 14. Capó Cisneros, O.: Tuberculosis Faringea, Localizaciones, Síntomas, Patogenía y Prognostico , Rev Cubana Tuberculosis , vol 11, No. (2) -3-4, 1947.

Journal

Archives of Otolaryngology – American Medical Association

Published: Sep 1, 1966

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