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Pseudo tumoral laryngeal tuberculosis
Karnail Singh1, Gurmeet Kaur, T L Parmar
1Department of Pediatrics, G.G.S. Medical college, Faridkot 151 203, Punjab, India.
Indian Pediatrics
|January 30, 2003
Summary
A child with prolonged fever and cough was diagnosed with tuberculosis affecting the vocal cords. Prompt anti-tubercular therapy led to a significant recovery, highlighting the importance of early diagnosis.
Area of Science:
- Pediatrics
- Pulmonology
- Infectious Diseases
Background:
- Tuberculosis (TB) can manifest with diverse extrapulmonary symptoms, posing diagnostic challenges.
- Vocal cord involvement in pediatric TB is rare but presents with persistent hoarseness.
Observation:
- An 11-year-old girl experienced prolonged fever, cough, and hoarseness.
- Chest X-ray revealed miliary mottling, suggestive of disseminated disease.
- Laryngoscopy showed inflammatory swelling on the left vocal cord.
Findings:
- Biopsy confirmed a chronic granulomatous lesion, consistent with tuberculosis.
- The patient showed remarkable improvement after initiating anti-tubercular therapy.
Implications:
- This case underscores the need to consider TB in children with unexplained respiratory symptoms and hoarseness.
- Early diagnosis and treatment of laryngeal tuberculosis are crucial for favorable outcomes.
- Disseminated tuberculosis can affect the vocal cords, requiring thorough investigation.