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Paediatric laryngeal tuberculosis presenting with stridor

V Rupa1, J Mathew, T S Bhanu

  • 1Department of ENT, CMC Hospital, Vellore, India.

Insights

A rare case of laryngeal tuberculosis in an infant is presented. This study highlights the unusual symptoms and lesion characteristics of this rare childhood disease.

Area of Science:

  • Pediatric Pulmonology
  • Infectious Diseases
  • Otolaryngology

Background:

  • Laryngeal tuberculosis (LTB) is a rare manifestation of Mycobacterium tuberculosis infection.
  • Pediatric LTB is exceptionally uncommon, posing diagnostic challenges.

Observation:

  • A 15-month-old Indian child presented with stridor, a concerning respiratory symptom.
  • Radiological imaging revealed suspicious signs indicative of a serious underlying condition.
  • A papillomatous lesion was observed in the larynx, an atypical presentation for tuberculosis.

Findings:

  • The case underscores the possibility of LTB presenting with unusual laryngeal pathology in young children.
  • Diagnostic difficulties arise from the non-specific symptoms and rare occurrence of laryngeal involvement.

Implications:

  • Early recognition of atypical LTB presentations is crucial for timely diagnosis and treatment in pediatric populations.
  • This case expands the understanding of laryngeal tuberculosis manifestations in immunocompetent children.
  • Further research into pediatric LTB is warranted to improve diagnostic strategies and patient outcomes.

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