Tuberculosis as a Cause of Rapid Salivary Gland Swelling in the Elderly - A Case Report.

Abstract

A 77-year-old man was admitted to the internal medicine department for a 5-day history of progressive preauricular swelling. Two lines of antibiotic treatment failed to achieve any improvement. Fine needle aspiration cytology was conducted and smear staining with the Ziehl-Neelsen stain as well as a PCR test were positive for Mycobacterium tuberculosis. These results were confirmed with culture of the sample. A diagnosis of tuberculosis parotitis was made and anti-tuberculous drugs were initiated.

LEARNING POINTS:

In patients not responding to usual antibiotic treatment, other rare causes of parotitis should be suspected.Fine needle aspiration cytology was an important procedure in establishing the diagnosis.

• Authors: Noel Lorenzo Villalba, Maria Belen Alonso Ortiz, Zaida Cordoba Sosa, Saturnino Suárez Ortega, Abrar-Ahmad Zulfiqar
• Journal: European journal of case reports in internal medicine (Eur J Case Rep Intern Med) Vol. 7 Issue 3 Pg. 001505 ( 2020) ISSN: 2284-2594 [Electronic] Italy
• PMID: 32206647 (Publication Type: Journal Article)
• Copyright: © EFIM 2020.