Isolated laryngeal tuberculosis: A diagnostic dilemma
R Bouatay1, N Bouaziz2, H Abdallah2
1ENT & Head and Neck Surgery Department at Fattouma Bourguiba Hospital in Monastir, Tunisia; University of Monastir, Tunisia.
Introduction And Importance:
Primary laryngeal tuberculosis (PLTB) is a rare condition. The symptoms and findings are not specific in most of the cases. Patients are diagnosed essentially based on histopathological examination and mycobacterial culture.
Case Report:
We report the case of a 42-year-old woman who presented to our hospital with dysphonia and dysphagia. Direct laryngoscopy revealed a lesion of the supraglottis. CT scan found a diffuse thickening of the entire surface of the larynx. A biopsy confirmed the diagnosis of tuberculosis.
Clinical Discussion:
Primary laryngeal tuberculosis is a rare clinical entity despite its close anatomical and physiological proximity to the lungs.
Conclusion:
Clinician should keep in mind the existence of primary laryngeal tuberculosis to avoid delayed diagnosis and treatment, which can lead to high morbidity and mortality.
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