Exploring the Complexities: Understanding the Clinicopathological Spectrum of Tuberculosis in the Head-and-neck Region.

Int J Mycobacteriol

Department of oral Pathology and Microbiology, Saraswati Dhanwantari Dental College and Hospital, Post Graduate Research Institute, Parbhani, Maharashtra, India.

Published: April 2024

AI Article Synopsis

  • Tuberculosis (TB) in the head-and-neck area can mimic cancer symptoms, resulting in misdiagnosis and delays in treatment, making awareness crucial for early detection.
  • The study reviewed cases from 30 patients treated between 2018 and 2024, primarily involving young individuals aged 15-24, with cervical tubercular adenitis being the most common lesion.
  • The findings suggest that healthcare providers need to consider TB in differential diagnoses due to its varied presentations, which can easily be confused with other conditions.

Article Abstract

Introduction: Tuberculosis (TB) affecting the head-and-neck area can often resemble cancer, leading to misdiagnosis and delayed treatment. A better understanding of this condition is necessary for early diagnosis and prompt treatment initiation. This study examines the clinical and pathological characteristics of different types of TB in the head-and-neck region.

Methods: This retrospective study analyzed patients diagnosed with TB in the head-and-neck region at a health center between January 1, 2018, and January 1, 2024. The study population consisted of patients who were diagnosed with TB of the head and neck.

Results: The study analyzed data from 30 patients, comprising 14 (47%) males and 16 (53%) females, all of whom tested negative for HIV. Most cases (15, 50%) were observed in the age group of 15-24 years, with 5 (15.6%) subjects falling in the age bracket of 0-14 years. Among the types of lesions detected, cervical tubercular adenitis was the most frequently observed lesion, found in 22 (73%) subjects. Females are more susceptible to cervical tubercular adenitis, while males are more likely to experience laryngeal TB.

Conclusion: The clinical manifestation of TB affecting the head-and-neck region can exhibit a diverse range of symptoms, which may lead to misinterpretation and diagnostic errors. Therefore, health-care practitioners must understand and include the condition in differential diagnoses.

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Source
http://dx.doi.org/10.4103/ijmy.ijmy_89_24DOI Listing

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