JRSM > Volume 98, Number 6 > Pp. 267-269

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4 years' experience of head and neck tuberculosis in a south London hospital

N Choudhury BSc MRCS  ¹ G Bruch MD  ¹ P Kothari FDSRCS  ¹ G Rao FRCPath  ²   R Simo FRCS  ¹

¹ Department of Otorhinolaryngology and Head and Neck Surgery, University Hospital Lewisham, London, UK
² Department of Microbiology, University Hospital Lewisham, London, UK

Correspondence to: Ms Natasha Choudhury, West Middlesex University Hospital, Twickenham Road, Isleworth TW7 6AF, UK E-mail: natashamasood1{at}aol.com

In a south London department of otorhinolaryngology and head and neck surgery, 33 cases of tuberculosis were diagnosed in 4 years. The most common presentation was cervical adenitis (58%) and in some cases the initial investigations suggested malignant disease. Most of the patients were of non-British origin but none proved to be HIV seropositive. Fine-needle aspiration was positive for tuberculosis in 7 of 19 patients. 21 patients required a surgical procedure for diagnosis.

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