耳鼻咽喉科領域の結核症について

Tuberculosis in the Otorhinolaryngological Field

　はじめに

　近年，抗結核剤の発達や結核予防法の普及によって結核の発生頻度および死亡率は減少してきている。しかし，ここ数年結核死亡率の減少速度は鈍化してきており，また肺結核の新登録患者数は増加してきている^1）。

　耳鼻咽喉科領域，特に咽頭喉頭領域は上気道に属し，肺結核に伴う発症の報告が多く認められる。今回著者が経験した耳鼻咽喉科領域の結核症について検討を行ったので，文献的考察を加え報告する。

Twenty patients of tuberculosis in the otorhi-nolaryngological field were treated during the past 15 years.

The patients ranged in age from 2 to 80 years (average 54.0 years). Anti -tuberculous chemothe-rapy was administered to 19 out of 20 patients, and all patients were cured.

These patients consisted of 1 tuberculous otitis media, 1 pharyngeal, 2 laryngeal, and 17 tuberculous cervical adenitis. Most cases had difficulty of differ-entiation from malignancy because of tumor forma-tion with granulous and nodular appearances. Six cases were related to pulmonary tuberculosis. All cases were diagnosed histopathologically.

They responded well to antituberculous agents and local treatments.