An Unusual Case of Primary Parotid Tuberculosis Associated with Whartin’s Tumor: Case Report

Introduction: Parotid tuberculosis is an extremely rare condition and cases of parotid tuberculosis associated to Warthin's tumor is even rarer.It presents as a swelling in the parotid region and is confirmed and through histopathological analysis.Case presentation: 66-year-old male patient, admitted for a swelling of the right parotid region, increasing in volume progressively since 6 months.Once in our structure, He benefited of a cervical Ultra Sound, followed by a cervical MRI, which revealed a solid cystic parotid process, measuring 36 mm, that may be related to a pleomorphic adenoma or a malignant lesion.The decision to proceed with a combined medical and surgical treatment approach was made, which not only allowed the complete excision of the Warthin tumor but also confirmed the diagnosis of the associated tuberculosis on the definitive pathological examination. Conclusion:the key lessons highlight the limited role of radiological imaging in the detection of parotid tuberculosis on one side and the crucial importance role of surgery, not only for confirming the diagnosis of tuberculosis but also for identifying associated tumors, which may be either malignant or benign on the other side.