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Tonsillar tuberculosis: a forgotten clinical entity
Open accessAbstract
Tuberculosis of tonsils is an extremely rare variety of extra-pulmonary tuberculosis which frequently simulates the tonsillar malignancy, especially in elderly individuals. Secondary form is more common than primary one, and in present day, contact with the infected sputum or saliva in a case of sputum smear positive pulmonary tuberculosis is the main source of the disease. Chronic or recurrent tonsillitis with enlarged tonsils and sore throat is the main clinical presentation. As it is very difficult to differentiate it from tonsillar malignancy on clinical ground, histopathological examination of the tissue is must for the diagnosis of tonsillar TB. Antitubercular therapy is adequate for its successful resolution. Here, we report a primary form of tonsillar tuberculosis in a 76-year-old male, in whom, no pulmonary tuberculosis was documented.
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“Typical lesions of oral TB are usually irregular, accompanied by painful ulcers that steadily increase in size. Commonly found in the oral region, easily traumatised surfaces may simply be mistaken for traumatic ulcers or carcinomas, as per our case [15,54].”
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 [54]
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Metadata
- Authors
- Das, A., Das, S., Pandit, S., & Basuthakur, S.
- Affiliations
- Medical College and Hospital, Kolkata (IN)
- Corresponding author
- Das, Anirban
- Das, SibesK
- ORCID
- Das, Anirban
- Venue
- Journal of Family Medicine and Primary Care
- Published
- 2015
- Volume
- 4
- Issue
- 1
- Pages
- 124
- ISSN
- 2249-4863 (ISSN-L)
- PMC
- PMC4366982
- OpenAlex
- W1998679840
- Cited by
- 30
- References
- 8
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 5 · 2023: 1 · 2022: 1 · 2021: 4 · 2020: 5 · 2019: 3 · 2018: 2 · 2017: 2 · 2016: 1 · 2015: 1
- FWCI
- 2.02
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by-nc-sa
- Locations
- Journal of Family Medicine and Primary Care (publishedVersion, cc-by-nc-sa)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-sa)
- PubMed Central (publishedVersion, cc-by-nc-sa)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Infectious Diseases › Diagnosis and treatment of tuberculosis
- Health Sciences › Medicine › Infectious Diseases › Tuberculosis Research and Epidemiology
- Health Sciences › Medicine › Infectious Diseases › Infectious Diseases and Tuberculosis
- Keywords
- tonsillar tuberculosis, extrapulmonary tuberculosis, primary tuberculosis, differential diagnosis, histopathological diagnosis, tuberculosis treatment, elderly patients
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