MANAGING PULMONARY TUBERCULOSIS IN A PATIENT WITH POST OP OROPHARYNGEAL CANCER - CHALLENGES FOR FAMILY PHYSICIAN
Oropharyngeal carcinoma is uncommon cancer compared to other malignancies. It accounts for less than 3% worldwide cancer and classified under the head and neck carcinoma. Patients with locally advanced oropharyngeal malignancy are usually treated with surgery with combination of radiotherapy and chemotherapy. This later required regular follow up especially on supportive care and adaptation to swallowing. Difficulty in swallowing provided burden to the patient and may lead to underlying malnutrition and risk of infection including tuberculosis. This will end up with poor compliance to oral treatment and risk of resistance. Therefore, this case study is illustrating the challenging role of family medicine specialists in managing a case of sputum positive pulmonary tuberculosis with underlying swallowing difficulty from glossectomy and radiotherapy on top of defaulted tongue carcinoma supportive care follow up.
WHO. Cancer – Oral Cancer. World Health Organization 2020. Available at https://www.who.int/cancer/prevention/diagnosis-screening/oral-cancer/en/. Accessed January 2, 2021.
Kant S, Gupta H, Ahluwalia S. Significance of nutrition in pulmonary tuberculosis. Crit Rev Food Sci Nutr. 2015;55(7):955-63. doi: 10.1080/10408398.2012.679500. PMID: 24915351.
Lai SW, Lin CL, Liao KF. Head and neck cancer associated with increased rate of pulmonary tuberculosis in a population-based cohort study. Medicine (Baltimore). 2017;96(43):e8366. doi:10.1097/MD.0000000000008366
Agyeman AA & Ofori-Asenso. Tuberculosis - An Overview. Journal of Public Health and Emergency. 2017;1(1):1-11.
Pozniak A. Clinical Manifestation and Complication of Pulmonary Tuberculosis. UpToDate 2017. Available at https://www-uptodate-com. /contents/clinical-manifestations-and-complications-of-pulmonary-tuberculosis. Accessed June 20, 2017.
Arthur T & Evans RG. Approach to the Patient with Unintentional Weight Loss. UpToDate. 2017. Available at https://www.uptodate.com/contents/approach-to-the-patient-with-unintentional-weight. Accessed September 16, 2017.
WHO. Tuberculosis - Global Tuberculosis Report 2016. World Health Organization 2016. Available at www.who.int › publications › global_report. Accessed June 20, 2017.
Yousang KJ, Hyun-Kyung L, Young SL & et al. Duration of Pulmonary Tuberculosis Infectiousness under Adequate Therapy, as Assessed Using Induced Sputum Samples. Tuberculosis Respiratory Disease. 2016;80(1):27-34.
Zachary KC. Tuberculosis Transmission and Control. UpToDate 2017. Available at https://www-uptodate-com.ezlib.iium.edu.my/contents/tuberculosis-transmission-and-control. Accessed September 9, 2017.
CDC. Center for Disease Control and Prevention: Tuberculosis CDC 2017. Available at https://www.cdc.gov/tb/default.htm. Accessed September 23, 2017.
Jamshed BB, Narainder G., Parveen G. & et al. Imaging in Tuberculosis. Cold Spring Harbor Perspective in Medicine. 2015;5(6): a017814.
Marchiori DM. Chapter 21 - Introduction to Chest Radiography. In: Marchiori DM, ed. Clinical Imaging (Third Edition). Saint Louis: Mosby; 2014:1153-1165.
Larissa Nekhlyudov CS. Overview of Cancer Survivorship Care for Primary Care and Oncology Providers. UpToDate 2017. Available at https://www-uptodate/contents/overview-of-cancer-survivorship-care-for-primary-care-and-oncology-providers. Accessed June 20, 2017.
Schliemann D., Ismail R., Donnelly M. & et.al. Cancer Symptom and Risk Factor Awareness in Malaysia: Findings from A Nationwide Cross-sectional Study. BMC Public Health. 2020;20(464).
Andrzej Kawecki RK. Follow-up In Patients Treated for Head and Neck Cancer. Magazine of European Medical Oncology 2014;7:87-91.
Bruce E, Brockstein KMS & Shiyu S. Overview of Treatment of Head and Neck Cancer. UpToDate 2017. Available at https://www-uptodate-com.ezlib.iium.edu.my/contents/overview-of-treatment-for-head-and-neck-cancer. Accessed June 20, 2017.
Reichman LB & Lardizabal AA. Adherence to Tuberculosis Treatment. UpToDate 2020. Available at https://www.uptodate.com/contents/adherence-to-tuberculosis-treatment. Accessed July 20, 2020.
Shalihin SE, Osman IF & Din H. Assessment of Diabetic Patient Waiting Time in A Primary Healthcare Clinic. International Medical Journal of Malaysia. 2020;19(2):41-48.
Shalihin SE, Osman IF & Harun Z. Non Specific Skin Purpura. Malaysian Family Physician. 2018;13(2):39-41.
Stenson KM. Epidemiology and Risk Factors for Head and Neck Cancer. UpToDate 2017. Available at https://www-uptodate-com.ezlib.iium.edu.my/contents/epidemiology-and-risk-factors-for-head-and-neck-cancer. Accessed June 20, 2017.
Nerina Denaro MCM & Elvio Grazioso R. Follow-up in Head and Neck Cancer: Do More Does It Mean Do Better? A Systematic Review and Our Proposal Based on Our Experience. Clinical and Experimental Otorhinolaryngology. 2016;9(4):287-297.