MANIFESTATIONS AND OUTCOMES OF TUBERCULOSIS IN THE
ENT REGION: A COMPREHENSIVE STUDY OF PRESENTATION,
DIAGNOSIS, AND TREATMENT |
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| Language |
English |
| Corres.Author |
Dr Singh Ravi Ramgopal |
| Email |
Ramgopal@gmail.com |
| Accepted Date |
|
| File size |
|
| No of Downloads |
164 |
| Published by |
IJCPCR |
| Full Text |
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| Extra-pulmonary tuberculosis (EPTB), particularly affecting the ear, nose, and throat (ENT) region, poses a significant
concern, especially in regions with a high burden of tuberculosis (TB). This study aims to explore the prevalence, clinical
presentations, treatment modalities, and outcomes of TB cases specifically manifesting in the ENT region over a period of
two and a half years. The records from our institute's directly observed treatment, short-course (DOTS) center were
systematically analyzed, including patient complaints, examination findings, diagnostic features, treatment approaches, and
overall outcomes. Among 1875 cases diagnosed with EPTB, 105 presented with ENT manifestations. Predominantly
observed in males in their 40s, cervical lymphadenopathy was the most common presentation in 121 cases. Fine needle
aspiration cytology facilitated successful diagnosis, and Category I anti-tubercular treatment (AKT) was effective in
achieving cure. Cases of TB otitis media with associated facial palsy and tympanic membrane changes were histologically
confirmed through surgical intervention, although hearing and facial palsy did not exhibit significant improvement postAKT completion. TB laryngitis and nasal TB cases responded well to AKT, aligning with findings from previous studies.
The study underscores the importance of maintaining a high index of suspicion for diagnosis and highlights the efficacy of
Category I AKT, emphasizing that surgical intervention may be warranted in select caseddd |
