| Journal: | Acta de otorrinolaringología y cirugía de cabeza y cuello |
| Database: | |
| System number: | 000561319 |
| ISSN: | 0120-8411 |
| Authors: | Muñoz-Lombo, Jenny Patricia Aguas-Agredo, Juan David1 Espinosa Ortiz, Daniela |
| Institutions: | 1socio, |
| Year: | 2021 |
| Volumen: | 49 |
| Number: | 2 |
| Pages: | 142-146 |
| Country: | Colombia |
| Language: | Español |
| English abstract | Tonsillitis is a benign and extremely common infection of the upper airway, secondary to the colonization of the normal bacterial flora of the oral cavity and exposure to pathogenic microorganisms of adjacent tissues. Such patients benefit from systemic antibiotics based on penicillins, macrolides and lincosamides. However, recurrent episodes, prolonged odynophagia, atypical manifestations, or poor response to antimicrobial therapy, forces consideration of diagnostic possibilities other than the obvious, including Mycobacterium tuberculosis as the etiological agent, especially in countries with the highest rates of tuberculosis. The following is a case report of an immunocompetent adult patient who was a recurrent user of Emergency Department services for repetitive odynophagia secondary to Mycobacterium tuberculosis tonsillitis, that serves to demonstrate an atypical presentation of extrapulmonary tuberculosis. |
| Spanish abstract | La amigdalitis es una afección leve y frecuente de la vía aérea superior secundaria a la colonización de flora bacteriana bucal y a la exposición a microorganismos patógenos de áreas adyacentes respondiendo adecuadamente al manejo antibiótico a base de penicilinas, macrólidos o lincosamidas. Sin embargo, cuadros recurrentes, odinofagia prolongada, manifestaciones atípicas o pobre respuesta a la antibioticoterapia son características que obligan a la búsqueda de diagnósticos diferenciales llevando a consideración la presencia de Mycobacterium tuberculosis como agente etiológico, especialmente en países con alto índice de tuberculosis como lo es Colombia. Este reporte de caso describe a un paciente adulto inmunocompetente con múltiples consultas al servicio de urgencias por cuadro clínico de odinofagia recurrente secundaria a amigdalitis por Mycobacterium tuberculosis, un raro caso de tuberculosis extrapulmonar. |
| Keyword: | Tuberculosis pulmonar, tonsilitis |
| Keyword: | Tuberculosis, Pulmonary, Tonsillitis |
| Full text: | Texto completo (Ver PDF) |
