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[Simultaneous pulmonar, laryngeal and lingual affectation by Mycobacterium tuberculosis]
J A Díaz Manzano1, J L Castillo Romero, M J Padilla Romero
1Servicio de ORL, Hospital La Inmaculada de Huércal-Overa (Almería). jdiazmanzano@hotmail.com
Anales Otorrinolaringologicos Ibero-Americanos
|August 30, 2007
Summary
Tuberculosis is increasing in developed nations, with laryngeal and pulmonary sites most common. This case highlights an exceptional instance of simultaneous lingual, laryngeal, and pulmonary tuberculosis in a 39-year-old male.
Area of Science:
- Otorhinolaryngology
- Infectious Diseases
- Pulmonology
Background:
- Tuberculosis (TB) incidence is rising in developed countries.
- Pulmonary TB is most common, followed by laryngeal TB; lingual TB is rare.
- Simultaneous TB affecting the lungs, larynx, and tongue is exceptionally infrequent.
Observation:
- A 39-year-old male presented with bilateral pulmonary TB, left vocal cord TB, and mobile tongue TB.
- Diagnostic tests revealed a negative Mantoux test but a positive sputum culture.
- Acid-alcohol resistant bacilli were identified in lingual and laryngeal biopsies.
Findings:
- The patient received a 6-month course of anti-tuberculosis treatment.
- Following treatment, both laryngeal and lingual lesions resolved completely.
- This represents one of only two reported cases of simultaneous TB in these three locations in the past 30 years.
Implications:
- This case underscores the possibility of rare, multifocal TB presentations.
- Early diagnosis and comprehensive treatment are crucial for resolving extensive TB lesions.
- Further research may elucidate risk factors and optimal management for such unusual TB manifestations.
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