Tuberculosis of the head and neck—Epidemiological and clinical presentation
Open accessAbstract
INTRODUCTION: The aim of our retrospective study was to review the clinical and epidemiological presentation of head and neck tuberculosis. MATERIAL AND METHODS: We analyzed the history of 73 patients with head and neck tuberculosis hospitalized in the Department of Otolaryngology, Medical University of Warsaw, between 1983 and 2009. RESULTS: We found that 26 (35.6%) patients presented with lymph node tuberculosis, 20 (27.4%) with laryngeal tuberculosis, 10 (13.7%) with oropharyngeal tuberculosis, 9 (12.3%) with salivary gland tuberculosis, 3 (4.1%) with tuberculosis of paranasal sinuses, 3 (4.1%) with aural tuberculosis, and 2 (2.7%) with skin tuberculosis in the head and neck region. Within the group of patients with lymph node tuberculosis in 15 cases there were infected lymph nodes of the 2(nd) and 3(rd) cervical region and in 11 infected lymph nodes of the 1(st) cervical region. In 5 cases of laryngeal tuberculosis there was detected coexistence of cancer. Oropharyngeal tuberculosis in 7 cases was localized in tonsils, where in 1 case coexisting cancer was diagnosed. Chest X-ray was performed in all cases and pulmonary tuberculosis was identified in 26 (35.6%) cases. CONCLUSIONS: We conclude that tuberculosis still remains a problem and must be taken into consideration in the diagnostic process. The coincidence of tuberculosis and cancer is remarkable in the head and neck region.
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TB remains a significant differential diagnosis in head and neck surgery, especially in regions with high disease prevalence, including Romania.
“Up to date, TB remains a significant differential diagnosis to make in the field of head and neck surgery, especially in regions with high disease prevalence [22], Romania being one of these regions.”
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 [22]
Laryngeal TB is another notable manifestation, though less common than enlarged cervical lymph nodes.
“Laryngeal TB is another notable manifestation, though less common than enlarged cervical lymph nodes. It can present with symptoms such as dysphonia and dysphagia [22,36].”
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 [22]
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“Up to date, TB remains a significant differential diagnosis to make in the field of head and neck surgery, especially in regions with high disease prevalence [22], Romania being one of these regions.”
- Authors
- Bruzgielewicz, A., Rzepakowska, A., Osuch-Wójcikewicz, E., Niemczyk, K., & Chmielewski, R.
- Affiliations
- Medical University of Warsaw (PL)
- Corresponding author
- Rzepakowska, Anna
- Venue
- Archives of Medical Science
- Publisher
- Termedia Sp. z.o.o.
- Published
- 2014
- Volume
- 6
- Issue
- 6
- Pages
- 1160-1166
- ISSN
- 1734-1922 (ISSN-L)
- PMC
- PMC4296055
- OpenAlex
- W2055012420
- Cited by
- 63
- References
- 19
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 10 · 2023: 4 · 2022: 3 · 2021: 9 · 2020: 2 · 2019: 4 · 2018: 9 · 2017: 3 · 2016: 7 · 2015: 4 · 2014: 2
- FWCI
- 4.28
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by-nc-sa
- Locations
- Archives of Medical Science (publishedVersion, cc-by-nc-sa)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- 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, tuberculous lymphadenitis, laryngeal tuberculosis, salivary gland tuberculosis, cutaneous tuberculosis, pulmonary tuberculosis, clinical features
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