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[Laryngeal tuberculosis: study of 11 cases].

M Montejo1, M Alonso, K Aguirrebengoa

  • 1Unidad de Enfermedades Infecciosas, Hospital de Cruces, Bilbao.

Acta Otorrinolaringologica Espanola
|March 29, 2001
PubMed
Summary

Laryngeal tuberculosis, a rare form of extrapulmonary tuberculosis, affects the voice box. This study found that most patients with laryngeal tuberculosis also had pulmonary tuberculosis and responded well to medical treatment.

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Area of Science:

  • Otolaryngology
  • Infectious Diseases
  • Pulmonology

Context:

  • Laryngeal tuberculosis is an uncommon manifestation of Mycobacterium tuberculosis infection.
  • This retrospective case series analyzes patients diagnosed with laryngeal tuberculosis between 1990 and 2000.

Purpose:

  • To describe the clinical characteristics, diagnosis, and treatment outcomes of laryngeal tuberculosis.
  • To highlight the association between laryngeal and pulmonary tuberculosis.

Summary:

  • Eleven patients with laryngeal tuberculosis were identified.
  • Common symptoms included dysphonia and dysphagia.
  • Eight patients (73%) had associated pulmonary tuberculosis, and Mycobacterium tuberculosis was isolated from sputum in seven patients.
  • Laryngeal biopsy confirmed granulomatous laryngitis in all eight biopsied patients.

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  • All patients showed favorable outcomes with medical treatment.

    • Impact:

    • This study underscores the importance of considering laryngeal tuberculosis in patients with persistent hoarseness and/or difficulty swallowing, especially those with known or suspected pulmonary tuberculosis.
    • Early diagnosis and appropriate medical management lead to favorable treatment responses.