CASE REPORTTONSILLAR TUBERCULOSIS SIMULATING A CANCER AND REVEALING MILIARY PULMONARY TUBERCULOSIS

Tuberculosis is an important cause of morbidity and mortality worldwide. We report the case of a 78-year-old man who presented with two months history of sore throat and left cervicallymphadenopathywithoutrespiratorysymptoms. Oral examination and the CT scan of the neck showed bilateral tonsillar hypertrophy simulating a cancer (lymphoma). Histopathology revealed granulomatous inflammatory lesions with caseation necrosisin the biopsies of tonsil and lymphadenopathy. The chest CT scan showed diffuse pulmonary micronodules related to miliary pulmonary tuberculosis.Anti-tuberculous medication was given and the improvement of symptoms was noticed in four weeks.