La tuberculose miliaire du pharynx ou maladie d’Isambert

Objectives

The aim of this case study was to report a rare case of acute miliary tuberculosis of the pharynx. The description of the various pathological forms of this disease and a review of the literature are included.

Methods

Report of a case of acute miliary tuberculosis of the pharynx in a 20-year-old female patient with chronic dysphagia and weight loss.

Results

Dysphagia with epistaxis and severe nutritional problems was noted. The pharyngeal examination showed diffuse granulation of the pharynx. The blood count showed an inflammatory syndrome. The tuberculin skin test was highly positive. A pharyngeal biopsy found caseous necrosis in giant cell granuloma. The prognosis was good with antituberculosis antibiotics.

Conclusion

Acute miliary tuberculosis of the pharynx is a rare entity. Many epidemiological studies have shown an increased frequency of this disease, which should therefore be kept mind.