Abstract
Two clinically-interesting cases of epipharingeal tuberculosis which extended to neigboring organs are reported. In the first case, a 42-year-old female complained of nasal obstruction. Examination of the nasal cavity and the epipharynx revealed a granular mass. A biopsy from the cavity showed only necrotic tissue, but a biopsy from the epipharynx showed Langerhans' cells, comfirming tuberculosis. A culture of post nasal discharge showed Mycobacterium tuberculosis. In the second case a 26-year-old female complained of ear obstruction. Examination of the epipharynx revealed a small granulation and an inflammation. Examination of the left ear revealed otitis media with effusion, and later with otorrhea. Biopsies were performed and the pathological findings were consistent with Mycobacterium tuberculosis infection. Mycobacterium were stained by Ziehl-Neelsen's Carbolfuchsin method. Purulent postnasal discharge and otorrhea showed positive test results. The sputum in both cases showed no positive results for smear and culture, and X-ray examinations of the chest revealed only old lesion from tuberculosis.
