Maryam Ghasemi - Associated Professor of Pathology, Molecular and Cell biology Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
Lale Vahedi Larijani - Assistant Professor of Pathology, Gastrointestinal Cancer Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
Seyyed Jafar Motahari - Otolaryngologist, Clinical Research Development Unit of Bou-Ali Sina Hospital, Mazandaran University of Medical Sciences, Sari, Iran
Parvaneh Afshar - PhD student, Research and Development Unit of Referral Laboratory, Deputy of Health Management, Mazandaran University of Medical Sciences, Sari, Iran

troduction: Tuberculosis (TB) is an infectious disease leading to death and one of major global health problem. TB spreads person to person through the air and infects the lungsand other organs. Primary tonsillar tuberculosis is an uncommon entity. Case presentation: In this survey, we describe the case of a 18-year-old woman with cachexia, fever, a sore throat, and neck lymphadenopathy, with normal laboratory testresults. A pathological examination revealed a caseation granuloma. Based on this finding,anti-TB drugs were prescribed. The patient’s symptoms resolved following the treatment. Conclusion: Primary tonsillar TB accounts for less than 0.5% of TB cases and is,therefore, a diagnostic challenge.

Tonsil, tuberculosis, Primary