Manifestations of Tuberculosis in Otorhinolaryngology Practice

A Retrospective Study Conducted in a Coastal City of South India

Rithika Sriram, Kiran M. Bhojwani

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Tuberculosis (TB) of the head and neck has proved to be a diagnostic challenge for otorhinolarynologists around the world and is often misdiagnosed as cancer. To contribute to a better understanding of TB in the head and neck region by assessing its various manifestations, presentations, diagnostic techniques, risk factors, coexisting illnesses and treatment modalities. This was a retrospective study conducted over a 3 year period (2012–2014) in 2 hospitals in South India, among patients diagnosed to have TB of the head and neck. A semi structured proforma was used to capture information from the medical records pertaining to the various objectives of the study. Data was analysed using SPSS version 16.0 and results obtained were depicted as percentages. Chi-square test was used to find association between the variables and p < 0.05 was considered statistically significant. Among 104 patients with TB of the head and neck, the most common manifestation was found to be Tubercular Lymphadenitis (86.53%), followed by laryngeal TB, submandibular gland TB, deep neck space abscess and adenotonsillar TB. FNAC was found to be the gold standard for the diagnosis of TB lymphadenitis. 26% of the patients had coexisting HIV infection and 16.3% of the patients had associated pulmonary TB. More than 20% of the patients were smokers. Most patients were treated using ATT. Tuberculosis of head and neck is no longer uncommon. Pulmonary TB need not be associated nor is smoking a risk factor according to our study.

Original languageEnglish
Pages (from-to)210-215
Number of pages6
JournalIndian Journal of Otolaryngology and Head and Neck Surgery
Volume69
Issue number2
DOIs
Publication statusPublished - 01-06-2017
Externally publishedYes

Fingerprint

Otolaryngology
India
Tuberculosis
Retrospective Studies
Neck
Head
Lymphadenitis
Pulmonary Tuberculosis
Laryngeal Tuberculosis
Submandibular Gland
Chi-Square Distribution
Diagnostic Errors
Abscess
HIV Infections
Medical Records
Smoking

All Science Journal Classification (ASJC) codes

  • Surgery
  • Otorhinolaryngology

Cite this

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abstract = "Tuberculosis (TB) of the head and neck has proved to be a diagnostic challenge for otorhinolarynologists around the world and is often misdiagnosed as cancer. To contribute to a better understanding of TB in the head and neck region by assessing its various manifestations, presentations, diagnostic techniques, risk factors, coexisting illnesses and treatment modalities. This was a retrospective study conducted over a 3 year period (2012–2014) in 2 hospitals in South India, among patients diagnosed to have TB of the head and neck. A semi structured proforma was used to capture information from the medical records pertaining to the various objectives of the study. Data was analysed using SPSS version 16.0 and results obtained were depicted as percentages. Chi-square test was used to find association between the variables and p < 0.05 was considered statistically significant. Among 104 patients with TB of the head and neck, the most common manifestation was found to be Tubercular Lymphadenitis (86.53{\%}), followed by laryngeal TB, submandibular gland TB, deep neck space abscess and adenotonsillar TB. FNAC was found to be the gold standard for the diagnosis of TB lymphadenitis. 26{\%} of the patients had coexisting HIV infection and 16.3{\%} of the patients had associated pulmonary TB. More than 20{\%} of the patients were smokers. Most patients were treated using ATT. Tuberculosis of head and neck is no longer uncommon. Pulmonary TB need not be associated nor is smoking a risk factor according to our study.",
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Manifestations of Tuberculosis in Otorhinolaryngology Practice : A Retrospective Study Conducted in a Coastal City of South India. / Sriram, Rithika; Bhojwani, Kiran M.

In: Indian Journal of Otolaryngology and Head and Neck Surgery, Vol. 69, No. 2, 01.06.2017, p. 210-215.

Research output: Contribution to journalArticle

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