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Cited by 96Diagnosis and treatment of tuberculosisTuberculosis Research and EpidemiologyInfectious Diseases and Tuberculosis

A clinical review of 128 cases of head and neck tuberculosis presenting over a 10-year period in Bradford, UK

Menon, K, Bem, C, Gouldesbrough, D, Strachan, D R·2007·The Journal of Laryngology & Otology
DOI 10.1017/s0022215106002507
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Abstract

Aims: To analyse the epidemiology, presentation and diagnosis of head and neck tuberculosis (TB). Methods: We conducted a 10-year retrospective study of all cases of tuberculosis of the head and neck region occurring in Bradford, UK. Results: Of a total of 1315 cases of TB, 128 presented with head and neck TB (12 per cent of which (15/128) were in children). Cervical lymph nodes were most commonly involved (87 per cent, 111/128), other sites being: salivary glands (five cases); larynx, oral cavity, eyes and ears (two cases each); and skin, thyroid, nasopharynx and retropharyngeal space (one case each). Patients' ethnic origins were Asian (89 per cent, 114/128), Caucasian (10 per cent, 13/128) and African (one case). Only 26 per cent (33/128) had constitutional symptoms, and 20 per cent (25/128) had a coexistent site of TB. Only 39 per cent (40/105) of surgical specimens were sent for culture. Conclusions: Isolated head and neck TB is not uncommon. Atypical presentations render diagnosis challenging, so awareness aids early diagnosis. Mycobacterial cultures should be performed, where possible, for diagnosis.

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  • The average duration of symptoms prior to diagnosis of head and neck EPTB can range from 4 weeks to several months, with many patients presenting late due to absence of typical systemic symptoms like coughing or weight loss.

    “According to studies as those by Menon et al. [13] and Sharma & Rana [15], the average duration of symptoms prior to diagnosis can range from 4 weeks to several months, with many patients presenting late due to the absence of typical systemic symptoms like coughing or weight loss.”

    From Head and Neck Tuberculosis: A Rare Diagnosis and the Role of Surgical Biopsy and Histopathological Evaluation in Extrapulmonary Disease (2025) · cites this paper as Menon et al. [13]

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Authors
Menon, K., Bem, C., Gouldesbrough, D., & Strachan, D. R.
Affiliations
Bradford Teaching Hospitals NHS Foundation Trust (GB)
Venue
The Journal of Laryngology & Otology
Publisher
Cambridge University Press (CUP)
Published
2006-08-21
Volume
121
Issue
4
Pages
362-368
ISSN
  • 0022-2151 (ISSN-L)
  • 1748-5460
DOI
10.1017/s0022215106002507
OpenAlex
W2170659984
Cited by
95
References
0
Citations by year
2025: 2 · 2024: 5 · 2023: 5 · 2022: 6 · 2021: 7 · 2020: 5 · 2019: 7 · 2018: 13 · 2017: 5 · 2016: 8 · 2015: 5 · 2014: 4 · 2013: 6 · 2012: 1
FWCI
1.01
Type
journal article
Language
en
Open access
closed
Licence
www.cambridge.org/core/terms (unspecified)
Locations
  • The Journal of Laryngology & Otology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Diagnosis and treatment of tuberculosis
  • Health Sciences › Medicine › Infectious Diseases › Tuberculosis Research and Epidemiology
  • Health Sciences › Medicine › Surgery › Infectious Diseases and Tuberculosis
Keywords
head and neck tuberculosis, scrofula, salivary gland tuberculosis, laryngeal tuberculosis, oral tuberculosis, tuberculosis epidemiology, atypical presentation, mycobacterial culture, ethnicity, children, Bradford
MeSH terms
Adolescent, Adult, Aged, Aged, 80 and over, Child, Child, Preschool, England, Female, Humans, Male, Middle Aged, Nasopharynx, Pharyngeal Diseases, Retrospective Studies, Tuberculosis, Tuberculosis, Cutaneous, Tuberculosis, Laryngeal, Tuberculosis, Lymph Node, Tuberculosis, Ocular, Tuberculosis, Oral, Age Distribution, Sex Distribution

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