PDF(Pubmed)
Abstract：
Despite being a preventable and curable disease, tuberculosis, which mainly affects the lungs, is still a major cause of illness and death worldwide, with more than one million people dying from it each year. The affliction of the tonsils is uncommon, and isolated tonsillar tuberculosis in the absence of active pulmonary disease is an extremely rare condition that requires early and accurate diagnosis to provide proper management. Microscopic examination is one of the gold-standard tools for diagnosing tuberculosis. However, routine histopathological investigation for tonsillectomy specimens is not justified except in cases of unusual clinical or postoperative presentations. A 20-year-old female patient who experienced recurrent episodes of infections with enlarged tonsils and adenoids and showed a slightly unusual presentation was sent for a histopathology examination. Upon microscopic examination, a caseating granulomatous reaction was found, and staining for acid-fast bacilli tested positive. The patient was treated for tuberculosis of the tonsils, and their condition improved.
摘要：
尽管是一种可以预防和治愈的疾病，结核病,主要影响肺部，仍然是全球疾病和死亡的主要原因，每年有超过一百万人死于此。扁桃体的痛苦并不常见，在没有活动性肺部疾病的情况下，孤立的扁桃体结核是一种极其罕见的疾病，需要早期和准确的诊断以提供适当的治疗。显微镜检查是诊断结核病的金标准工具之一。然而,除非临床或术后表现异常，否则对扁桃体切除术标本进行常规组织病理学检查是不合理的。一名20岁的女性患者经历了扁桃体和腺样体肿大的感染反复发作，并表现出轻微的异常表现，被送往组织病理学检查。经显微镜检查,发现了干酪样肉芽肿反应,抗酸杆菌染色呈阳性。病人因扁桃体结核接受治疗,他们的状况有所改善。
