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Laryngo-pharyngeal Tuberculosis
Leonardo Conrado Barbosa de S Á1, Roberto Campos Meirelles2, Ciríaco Cristóvão Tavares Atherino2
1ENT Resident - Pedro Ernesto University Hospital - Ro de Janeiro. M.S Student - General Surgery - Federal University of Rio de Janeiro Medical School - FM-UFRJ.
Tuberculosis of the larynx and pharynx is rare but increasing. This case highlights isolated laryngo-pharyngeal tuberculosis in a pregnant woman, emphasizing early diagnosis of uncommon upper airway lesions.
Area of Science:
- Infectious Diseases
- Otolaryngology
- Public Health
Background:
- Tuberculosis (TB) incidence is rising globally.
- Laryngeal and pharyngeal TB are uncommon presentations.
- Increased TB cases raise the possibility of isolated upper airway lesions.
Observation:
- A 30-year-old immunocompetent pregnant female presented with odynophagia.
- Symptoms persisted for ten months without respiratory or systemic signs.
- An oro-pharyngeal granulomatous lesion was identified.
Findings:
- Biopsy confirmed acid-fast bacilli, indicative of tuberculosis.
- No clinical or radiological evidence of pulmonary TB was found.
- The patient successfully completed a nine-month TB treatment protocol.
Implications:
- Highlights the importance of considering TB in unusual upper airway presentations.
- Underscores the need for heightened clinical suspicion for early diagnosis.
- Relevant for infectious disease specialists, otolaryngologists, and public health officials.
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