폐결핵후 이차적으로 발생한 인두 결핵 2예
Two Cases of Pharyngeal Tuberculosis Secondary to Pulmonary Tuberculosis
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참고문헌
초록
최근 상기도 결핵의 빈도는 급격히 감소되고 있으나 항생제에 반응이 없는 인후통 및 연하통 등의 증상이 지속되면 인두 결핵의 가능성을 항상 고려해야 한다. 저자들은 폐결핵후 이차적으로 발생한 인두 결핵 2예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.
Abstract
Pharyngeal involvement of tuberculosis is rare and is seen only in massive sputum positive patients with cavitating pulmonary tuberculosis. The pharyngeal lesions are secondary to aspiration of heavily infected sputum from lung and consist of painful shallow ulcers in pharynx. Chronic sore throat and unexplained dysphagia should alert the clinician to possibility of tuberculosis, especially in the countries where tuberculosis is endemic. We report two cases of pharyngeal tuberculosis with pulmonary tuberculosis, one of which has concurrent laryngeal and intestinal tuberculosis. Histological and bacteriological examinations established the diagnosis of pharyngeal tuberculosis associated with pulmonary focus.
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