Olgu Sunumu / Case Report Pulmoner Tüberküloza Sekonder Tonsil Tüberkülozu Tonsillar Tuberculosis Secondary to Pulmonary Tuberculosis

Currently, tuberculosis of the upper respiratory tract is very uncommon. Mycobacterium tuberculosis may involve mouth, tonsils, tongue, nose, epiglottis, larynx, and pharynx. We presented a case with multiple lymph node and tonsil involvement secondary to pulmonary tuberculosis. A 34-year-old male was admitted with the complaints of hoarseness and sore throat. Bilateral palatine tonsils were enlarged and a tonsillectomy was performed by otorhinolaryngologist. The pathological examination of the surgical material revealed necrotizing granulomatous inflammation and the patient was directed to our clinic. Sputum smear revealed once rare bacillus and twice one positive (+) acid-fast bacilli. The patient was diagnosed with lung tuberculosis and tonsillar tuberculosis. Antituberculous agents were started. The patient’s treatment is still continuing with monthly controls. The possibility of tonsillar tuberculosis should be considered when unexplained enlarged tonsils are observed, and should be remembered for the differential diagnosis of atypical recurrent sore throat, even in immunocompetant patients.