title: Nasopharyngeal tuberculosis: manifestations between 1991 and 2000.
abstract: OBJECTIVE
  To present the clinical manifestation of nasopharyngeal tuberculosis.
  
  
  METHODS
  Clinical analysis of 23 patients with pathologically confirmed nasopharyngeal tuberculosis was carried out retrospectively.
  
  
  METHODS
  Srinagarind Hospital, Khon Kaen University. Thailand.
  
  
  RESULTS
  The most common presenting symptom was cervical lymphadenopathy (91.3%). The common locations of nodes were the superior and middle cervical. The abnormalities of the nasopharynx were found in 16 patients. The pathological findings were caseous granuloma with positive acid-fast bacilli (AFB) in 15 cases, caseous granuloma with negative AFB in 3 cases, and chronic granulomatous inflammation with negative AFB in 5 cases. Pulmonary tuberculosis was found in 8 of 18 patients. Sixteen patients who received complete treatment responded well.
  
  
  CONCLUSIONS
  Nasopharyngeal tuberculosis commonly presents with cervical lymphadenopathy. The differential diagnosis of tuberculosis from nasopharyngeal carcinoma is difficult. In the patients who have cervical lymphadenopathy and no other identified causes, biopsy of nasopharynx would give an additive information for diagnosis.
authors.affiliation: Department of Otolaryngology, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand.
authors.forename: Somchai
authors.initials: S
authors.lastname: Srirompotong
authors.forename: Kwanchanok
authors.initials: K
authors.lastname: Yimtae
authors.forename: Darunee
authors.initials: D
authors.lastname: Jintakanon
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006099:Granuloma / Q000209:etiology / Q000473:pathology; D006801:Humans; D008206:Lymphatic Diseases / Q000209:etiology; D008297:Male; D008875:Middle Aged; D009302:Nasopharyngeal Diseases / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D009333:Neck; D012189:Retrospective Studies; D014376:Tuberculosis / Q000150:complications / Q000175:diagnosis* / Q000473:pathology