PDF(Pubmed)
Abstract：
Tuberculosis being endemic in country like India can affect any organ though pulmonary tuberculosis is rampant and extrapulmonary is rare. Tuberculosis affecting parotid gland is a rare occurrence, usually unilateral. However, Mycobacterium tuberculosis causing cold abscess in bilateral parotid glands is even rarer. Here, we present a case of a young female presented with bilateral slow-growing swelling in the parotid region with evening raise of temperature for two months. On clinical examination, no signs of inflammation were seen. Ultrasonography showed thick-walled hypoechoic collection with septae and internal echoes within involving both superficial and deep lobes of the parotid gland. Fine-needle aspiration cytology (FNAC) suggested a caseating granuloma and acid fast bacilli were detected on ZN staining, thereby confirming the diagnosis of cold abscess. She was put on antitubercular drugs and there was a drastic reduction in the size of swelling.
摘要：
在像印度这样的国家，结核病是地方性的，可以影响任何器官，尽管肺结核是猖獗的，肺外是罕见的。影响腮腺的结核病是罕见的，通常是单方面的。然而,引起双侧腮腺冷脓肿的结核分枝杆菌更为罕见。这里,我们介绍了一例年轻女性，表现为腮腺区域双侧缓慢增长的肿胀，夜间体温升高两个月。在临床检查中，没有看到炎症的迹象。超声检查显示厚壁低回声集合，其中隔和内部回声累及腮腺的浅叶和深叶。细针穿刺细胞学（FNAC）提示在ZN染色上检测到干酪样肉芽肿和抗酸杆菌，从而确认冷脓肿的诊断。她服用了抗结核药物，肿胀的大小急剧减少。
