MANAGING PULMONARY TUBERCULOSIS IN A PATIENT WITH POST OP OROPHARYNGEAL CANCER - CHALLENGES FOR FAMILY PHYSICIAN

  • Mohd Shaiful Ehsan Shalihin Department of Family Medicine, Kulliyyah of Medicine, International Islamic University of Malaysia, Jalan Sultan Ahmad Shah, 25200 Kuantan, Pahang, Malaysia.
  • Zulkifli Harun Klinik Kesihatan Rompin, Jalan Rompin – Pekan, 26800 Rompin, Malaysia
Keywords: Oropharyngeal carcinoma, Pulmonary tuberculosis, Swallowing

Abstract

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.

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Published
2021-04-24
How to Cite
Shalihin, M. S. E., & Harun, Z. (2021). MANAGING PULMONARY TUBERCULOSIS IN A PATIENT WITH POST OP OROPHARYNGEAL CANCER - CHALLENGES FOR FAMILY PHYSICIAN . Malaysian Journal of Public Health Medicine, 21(1), 169-174. https://doi.org/10.37268/mjphm/vol.21/no.1/art.725