PDF(Pubmed)
Abstract：
Pharyngeal tuberculosis without pulmonary involvement is very rare and may be confused with malignant lesions. We present a 45-year-old female patient with a history of HIV presenting with a history of cough, sore throat, and oral ulcers with chronic use of antibiotics. The evolution would indicate a probable malignant tumor, but the biopsy was consistent with Pharyngeal TB. The patient initiated anti-tuberculosis therapy and demonstrated improved conditions and remission of ulcers. In the context of HIV, this treatment could be a major contributor to the underdiagnosis of the disease and may lead to alternative diagnoses. Therefore, it is vital to consider this condition in patients who do not respond to antibiotics.
摘要：
没有肺部受累的咽部结核非常罕见，可能与恶性病变混淆。我们介绍了一名45岁的女性患者，她有艾滋病病史，有咳嗽史，喉咙痛,和长期使用抗生素的口腔溃疡。进化表明可能是恶性肿瘤，但活检结果与咽部结核一致.患者开始抗结核治疗，并表现出改善的病情和溃疡缓解。在艾滋病毒的背景下，这种治疗可能是该疾病诊断不足的主要原因,并可能导致其他诊断.因此,在对抗生素无反应的患者中考虑这种情况是至关重要的。
