Tuberculosis in the Head and Neck: Changing Trends and Age-Related Patterns.
Adult
Age Factors
Biopsy
Case-Control Studies
Emigrants and Immigrants
/ statistics & numerical data
Female
Humans
Male
Middle Aged
Mycobacterium tuberculosis
/ isolation & purification
Oropharynx
/ microbiology
Retrospective Studies
Risk Factors
Tuberculosis, Laryngeal
/ diagnosis
Tuberculosis, Lymph Node
/ diagnosis
Tuberculosis
extrapulmonary tuberculosis
head and neck
laryngeal tuberculosis
lymph node tuberculosis
Journal
The Laryngoscope
ISSN: 1531-4995
Titre abrégé: Laryngoscope
Pays: United States
ID NLM: 8607378
Informations de publication
Date de publication:
12 2021
12 2021
Historique:
revised:
22
04
2021
received:
23
12
2020
accepted:
20
05
2021
pubmed:
4
6
2021
medline:
25
11
2021
entrez:
3
6
2021
Statut:
ppublish
Résumé
To evaluate changing trends in patient collectives, age-related patterns of manifestation, and diagnostic pathways of patients with extrapulmonary head and neck tuberculosis (TB), and to provide strategies to fasten diagnosis in these patients. Case control study. A 10-year retrospective analysis of 35 patients diagnosed with extrapulmonary TB in the head and neck at a tertiary university institution from 2009 to 2019, with special focus on the influence of the patient's age on consideration of TB and clinical patterns. The vast majority of patients younger than 40 years had their origin in countries with high TB burden (P = .0003), and TB was considered very early as a differential diagnosis (P = .0068), while most patients older than 40 years were domestic citizens initially suspected for a malignancy, who more often had an underlying immunosuppressive condition (0.0472). Most frequent manifestations in both groups were the lymph nodes, larynx, and oropharynx. Surprisingly, no differences in the rates of open TB or history of TB infection in the family anamnesis were found. The two groups of patients found most often are younger patients migrating from regions with high TB burden and elderly domestic patients suffering from immunosuppressive conditions, with the latter often being misdiagnosed as malignancies. TB remains an important but difficult differential diagnosis, due to the initially unspecific symptoms and the great variety in the presentation of manifestations in the head and neck. 4 Laryngoscope, 131:2701-2705, 2021.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2701-2705Informations de copyright
© 2021 The Authors. The Laryngoscope published by Wiley Periodicals LLC on behalf of The American Laryngological, Rhinological and Otological Society, Inc.
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