Nagula Parusharam¹, Kamreddy Ashok Reddy¹, Lokesh Rao Magar², Jadi Lingaiah³

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¹ Department of E.N.T., Kakatiya Medical College, MGM Hospital, Warangal, India.
² Department of Pathology, Kakatiya Medical College, MGM Hospital, Warangal, India.
³ Department of ENT & HNS, Chalmeda Anand Rao Institute of Medical Sciences, Karimnagar, India.
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Abstract: Though Tuberculosis is one of the most common causes of ill health and death worldwide, people with diabetes have 2 - 3 times higher risk of tuberculosis when compared with people without diabetes. Though tuberculosis can affect any part of the body, oral and oropharyngeal tuberculosis is rare, but reported. And it’s association with diabetes mellitus because of the decreased host mechanism, is still rare, but reported. A 50-year-old female diabetic who was on insulin therapy came to OPD of MGM hospital, Kakatiya Medical College, Warangal with complaints of severe pain in throat for the last 6 months. On examination, right tonsil was enlarged with granular surface. Left tonsil and rest of the oropharynx were normal. Examination of chest was normal and there was no evidence of pulmonary tuberculosis. Punch biopsy revealed tuberculosis of tonsil. Isolated cases of primary tuberculosis of tonsil without evidence of pulmonary tuberculosis are rare. Presence of diabetes mellitus makes patients 2 - 3 times more vulnerable for tubercular infection.

Keywords: Tonsil, Primary Tuberculosis, Diabetes Mellitus

Cite this paper: Parusharam, N. , Reddy, K. , Magar, L. and Lingaiah, J. (2015) Primary Tuberculosis of Tonsil in a Diabetic Patient—A Case Report. International Journal of Otolaryngology and Head & Neck Surgery, 4, 190-195. doi: 10.4236/ijohns.2015.43032.

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