Abstract
Multiple cases of extrapulmonary tuberculosis (TB) combined with pulmonary TB are commonly encountered in clinical practice. Nasopharyngeal TB is often ignored because of its hidden location and nonspecific manifestations. A correlation between cervical lymph node and nasopharyngeal TB has been observed; however, reports of cervical lymph node TB complicated with nasopharyngeal TB are rare, potentially leading to missed diagnosis. Herein, we present a case of nasopharyngeal TB combined with cervical lymph node and pulmonary TB. Radiographic findings consistently suggested TB, although multiple smear tests' results were negative. After 3 months of diagnostic anti-TB treatment, the nasopharyngeal TB completely disappeared, and the swollen cervical lymph nodes subsided after 1 year of treatment. This case report deepens our understanding of nasopharyngeal TB and emphasizes the need for nasal endoscopy in patients with cervical lymph node TB.