Incidental Diagnosis of Primary Tuberculosis of the Palatine Tonsil in a Patient With Nasal Obstruction and Snoring
Bibliographic record
Abstract
Tuberculosis (TB) is caused by Mycobacterium tuberculosis and most commonly occurs in the lung. Only 10-15% of all cases of tuberculosis occur outside the respiratory system. Whereas secondary tuberculosis of the tonsil, where there is sputum-positive pulmonary TB, has been well documented, primary tuberculosis of the tonsil without pulmonary TB is rare, and only a few cases have been reported up to now. However, primary palatine tonsillar tuberculosis without either lung or cervical lymph node involvement has not yet been reported. The authors present a case of incidental diagnosis of primary palatine tonsillar TB following postoperative pathologic examination in an otherwise healthy 35-year-old woman who underwent bilateral tonsillectomy with endoscopic sinus surgery due to nasal obstruction and snoring. The patient received anti-tuberculosis medical treatment after tonsillectomy and was successfully treated. J Med Cases. 2019;10(1):27-29 doi: https://doi.org/10.14740/jmc3243
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.003 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.002 | 0.002 |
| Scholarly communication | 0.001 | 0.002 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.003 | 0.002 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".