Abstract
The objective of this study was to report a case of miliary tuberculosis revealed by a pharyngeal localization, and study this disease through a literature review.We report the clinical case of a 23 year old patient presented for chronic tonsillitis treated as bacterial but without improvement. Dysphonia and dysphagia were added later with the same signs of tuberculous impregnation. The chest x-ray done before the onset of coughing had objectified miliary. The diagnosis of tuberculosis was selected before the detection of acid-fast bacilli in cytobacteriological examination of the pharyngeal swab and sputum. Specific antituberculous treatment led to a favourable outcomeIn a context of endemic tuberculosis, the diagnosis of miliary tuberculosis of the pharynxshould be considered in all pharyngeal syndrome did not improve with medical treatment.Keywords: Isambert disease; oropharynx ; tuberculosis
Highlights
La tuberculose reste toujours un problème de santé publique mondiale, surtout dans les pays en voie de développement
La tuberculose du pharynx correspond à l’ensemble des lésions évolutives de type granulomateuses de la muqueuse pharyngée consécutive à l’infection par le bacille de Koch
Nouvelles méthodes de diagnostic de la tuberculose
Summary
La maladie d’Isambert : un mode de révélation très rare de la miliaire tuberculeuse. Le patient a été mis sous traitement anti bacillaires avec une nette amélioration clinique. Dans un contexte d’endémie tuberculeuse, le diagnostic de la tuberculose miliaire du pharynx doit être évoqué devant tout syndrome pharyngé ne s’améliorant pas sous traitement médical. Mots clés : maladie d’Isambert ; oropharynx ; tuberculose Abstract: The objective of this study was to report a case of miliary tuberculosis revealed by a pharyngeal localization, and study this disease through a literature review. Specific antituberculous treatment led to a favourable outcome In a context of endemic tuberculosis, the diagnosis of miliary tuberculosis of the pharynx should be considered in all pharyngeal syndrome did not improve with medical treatment.
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