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Introduction <p>The Waldeyer’s Ring, being part of the Mucosa-Associated Lymphoid Tissue (MALT) immune system and due to its anatomical location, is the first to be exposed to inhaled and ingested pathogens. However, depending on the pathogen involved, inflammation can take on varied and often chronic courses, with the end result being the patient presenting with a clinical profile entirely different from that expected in Chronic Tonsillitis.</p> Case Report <p>Here two patients are described, presenting with clinical profiles highly suggestive of Tonsillar / Oropharyngeal neoplasm, but eventually proved to be Tubercular infection upon histopathological examination.</p> Discussion <p>Uncommon infections may have variable presentations, posing quite a bit of dilemma for clinical diagnosis. While tissue diagnosis may be instrumental in establishing the diagnosis and providing definitive treatment, some degree of clinical suspicion for atypical/uncommon infections should always be present when dealing with lesions of Oropharynx. </p>

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Primary Oral and Oropharyngeal Tuberculosis: The Overlooked Malady

  • 期刊论文

  • 发表日期：

    2026年4月29日

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  • Tamoghna Maity,
  • Tanaya Panja,
  • Soumyajit Ray Chaudhuri

摘要

Introduction

The Waldeyer’s Ring, being part of the Mucosa-Associated Lymphoid Tissue (MALT) immune system and due to its anatomical location, is the first to be exposed to inhaled and ingested pathogens. However, depending on the pathogen involved, inflammation can take on varied and often chronic courses, with the end result being the patient presenting with a clinical profile entirely different from that expected in Chronic Tonsillitis.

Case Report

Here two patients are described, presenting with clinical profiles highly suggestive of Tonsillar / Oropharyngeal neoplasm, but eventually proved to be Tubercular infection upon histopathological examination.

Discussion

Uncommon infections may have variable presentations, posing quite a bit of dilemma for clinical diagnosis. While tissue diagnosis may be instrumental in establishing the diagnosis and providing definitive treatment, some degree of clinical suspicion for atypical/uncommon infections should always be present when dealing with lesions of Oropharynx.