Unusual Presentation of Extra Pulmonary Tuberculosis in Middle aged Female: A Unique Case Report
DOI:
https://doi.org/10.51985/JBUMDC2024317Keywords:
Anti-tuberculous therapy, Extra-pulmonary Tuberculosis, Fine needle aspiration cytology, Parotid tuberculosis.Abstract
Pulmonary tuberculosis (TB) is a leading cause of morbidity and mortality among all infectious diseases especially in Pakistan where TB is endemic while extra pulmonary TB often encountered. However, primary salivary gland specifically unilateral parotid gland involvement is exceedingly uncommon. We present a case of 38-year old woman with six months duration of right parotid lump. The lump was firm and non-tender with bilateral cervical lymphadenopathy. No other constitutional symptoms of TB in our patient except weight loss. We presumed it a parotid neoplasm but after workup it reveals parotid TB which responds to first line anti-tuberculous therapy (ATT). So, careful exclusion of parotid neoplasm prevented unwanted surgery in our patient and patient recovered without any residual disease. We proposed that the differential diagnosis of a parotid gland swelling should include the infrequent possibility of parotid gland tuberculosis.
References
Maurya M, Kumar S, Singh H, Verma A. Tuberculous
parotitis: A series of eight cases and review of literature.
National Journal of Maxillofacial Surgery. 2019;10(1):118.
DOI:10.4103/njms.NJMS_34_18
Mokashi Khan S, Prakash N, Raiskhan Mokashi R. Unusual
Case of Primary Tuberculosis of Left Parotid Gland.
International Journal of Medical Research & Health Sciences,
, 10(12): 70-73.
Bakir M, Magableh HM, Alabdaljabar MS, Alnabi Z, Alabdan
LI, Aljohani F, et al. Parotid Gland Tuberculosis: A Case
Report and Literature Review. Cureus. 2022 Aug 1; DOI:
7759/cureus.27590
Singh D, Mishra S. A Rare Case of Parotid Gland
Tuberculosis. von Linstow ML, editor. Case Reports in
Pediatrics. 2021 Jan 5;2021:1–3. DOI: https://doi.org/10.1155/
/7484812
Malhotra P, Saraf A, Bansal N. Granulomatous pathology in
salivary glands: a secondary health care center experience.
Trop J Pathol Microbiol. 2020;6(2):118-123. DOI: https://doi.
org/10.17511/jopm.2020.i02.02
Samir Paruthy, Paruthy SB. Parotid gland tuberculosispresentation of 4 case variants. International Surgery Journal.
Feb 25;8(3):984–4. DOI: https://dx.doi.org/10.18203
/2349-2902.isj20210533
Sevil Alkan Çeviker, Emine Kübra Dindar Demiray, Mustafa
Yýlmaz, Dursun Mehmet Mehel. Evaluation of tuberculous
parotitis cases with the pooled analysis method. 2021 Jan
;7(2):107–11. DOI: 10.5606/fng.btd.2021.25056
Belatik H, Aouinti L, Touiheme N, Attifi H, Nadour K, El
Boukhari A. Histological surprise of parotid tuberculosis:
about two cases. Pan African Medical Journal. 2019;32.
doi:10.11604/pamj.2019.32.85.171739
Jameel Z, Raza MS, Mukhtar MU. Bilateral tuberculous
parotitis with facial nerve palsy: The first case report.
Otolaryngology Case Reports. 2022 Sep;24:100450
Virmani N, Jyoti Dabholkar. Primary Tubercular Sialadenitis
- A Diagnostic Dilemma. PubMed. 2019 Jan 1;31(102):45–50.
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Copyright (c) 2024 Madeeha Shahid, Pirhay Fatma, Nazia Qamar, Muhammad Salman Zafar, Aun Ali, Aamir Hussain
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