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Hoarseness in tuberculosis.

S Vyravanathan

    The Journal of Laryngology and Otology
    |June 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    Hoarseness in tuberculosis patients stems from vocal cord inflammation or nerve damage. Effective anti-tuberculosis treatment resolves inflammation-related hoarseness, but fibrosis-related cases persist.

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    Area of Science:

    • Pulmonology
    • Otolaryngology
    • Infectious Diseases

    Background:

    • Hoarseness is a common symptom in patients with tuberculosis (TB).
    • Understanding the causes of hoarseness in TB is crucial for diagnosis and management.
    • Previous studies have explored laryngeal manifestations of TB, but specific etiological breakdowns are valuable.

    Purpose of the Study:

    • To investigate the causes of hoarseness in tuberculous patients in Kandy, Sri Lanka.
    • To determine the relationship between the etiology of hoarseness and treatment outcomes.

    Main Methods:

    • A study was conducted on 26 patients with tuberculosis presenting with hoarseness.
    • Etiologies were categorized into direct laryngeal inflammation and recurrent laryngeal nerve palsy.

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  • Clinical outcomes were correlated with the underlying cause and treatment response.

    • Main Results:

    • Tuberculous inflammation of the vocal cords caused hoarseness in 18 patients, primarily due to direct spread from lung cavities.
    • Recurrent laryngeal nerve palsy, linked to tuberculous lesions in the mediastinum or pleura, caused hoarseness in the remaining eight patients.
    • Hoarseness resolved with anti-tuberculosis chemotherapy in cases of active inflammation but persisted in those with laryngeal fibrosis.

    Conclusions:

    • Hoarseness in tuberculosis patients has distinct causes, including direct laryngeal infection and nerve involvement.
    • The reversibility of hoarseness is dependent on the underlying pathology, with inflammatory causes responding to chemotherapy.
    • Early diagnosis and appropriate anti-tuberculosis treatment are essential for managing hoarseness in TB patients.