A Ten —Years Study Of The Incidence Of Tonsillar Tuberculosis In Kalyobia Governorate Children Between (1993- 2002)
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This study was conducted on 200 cases for w. hom tonsillectomy was indicated, they were randomly selected from the ENT outpatient clinic, Benha university hospital (in Kalyobia Governorate) in the period from January 2001 to August 2002, for detection of tonsillar tuberculosis and to make a comparison for the changing rates Of T.B of the tonsil in two successive decades (1993-2002) . All patients were subjected to complete history taking and full clinical examination. Radiological investigation and laboratory investigations, including erythrocyte sedimentation rate (ESR), tuberculin test, histopathological examination and culture from tonsils were done for detection of tubercle bacilli. The obtained results were; (a) One case (0.5%) with positive history of unpasteurized milk intake during infancy and childhood in urban areas and there were 13 cases (6.5%) with positive history in rural areas other was thirty cases (15%) with positive history of contact with TB patients. (b) Histopathological examination of serial section from the removed tonsils showed that, 2 tonsils out of 200 proved to contain tuberculous foci (1%). From this study, it could be concluded that tuberculosis of tonsils is still present in Klyobia Governorate in 2002 but with percent of 1% which is less than those reported in 1993, where it was 3.5%, and its presence in not related to existence of other forms of tuberculosis like pulmonary'or intestinal tuberculosis. Its presence is observed only in children in contact with the patients suffering from pulmonary tuberculosis.