scholarly journals Laryngeal Tuberculosis Presenting With Primary Symptoms Of Laryngeal Carcinoma

2013 ◽  
Vol 10 (1) ◽  
pp. 40-42
Author(s):  
M Junaid ◽  
S Qadeer ◽  
ZA Sobani ◽  
S Haroon ◽  
S Ghaffar

Laryngeal tuberculosis (TB) occurs in about 1% of patients suffering from pulmonary tuberculosis; however presentation of these patients with primary laryngeal symptoms is a rarity. In such situations it forms a diagnostic dilemma between laryngeal TB and the more common laryngeal carcinoma. Highlighting this dilemma we present our patient, a 76 year old male, farmer presenting with primary complaints of progressive dysphagia for 3 weeks. This patient happens to be our second case of laryngeal TB, presenting with primary laryngeal symptoms in a span of under 2 years. We present these cases to emphasize that although laryngeal tuberculosis presenting with primary laryngeal symptoms is a rarity, it must be considered when evaluating dysphagia or dysphonia in populations where TB is endemic. SAARC Journal of Tuberculosis, Lung Diseases & HIV/AIDS; 2013; X(1); 40-42 DOI: http://dx.doi.org/10.3126/saarctb.v10i1.8676

1976 ◽  
Vol 85 (4) ◽  
pp. 547-548 ◽  
Author(s):  
Sirus Naraqi ◽  
Manfred W. Raiser ◽  
N. Mark Richards ◽  
Burton R. Andersen

A patient with laryngeal and pulmonary tuberculosis is described. The similarity between the clinical presentation and gross appearance of laryngeal carcinoma and tuberculosis in this patient and others reported in the literature is emphasized. Laryngeal biopsy is necessary to establish the correct diagnosis, but this must be done only after the proper precautions are taken to reduce the risk of infection to the physician performing the biopsy. Examination of the chest x-ray and acid-fast stain of the sputum are rapid and highly reliable screening tests for laryngeal tuberculosis.


1998 ◽  
Vol 112 (1) ◽  
pp. 45-48 ◽  
Author(s):  
Pinky Agarwal ◽  
Arvind S. Bais

AbstractA series of 31 cases of tuberculous laryngitis is reviewed to assess the diagnostic features of the disease.The condition generally presents in males of late middle age who have pulmonary tuberculosis. It presents in a manner similar to laryngeal carcinoma except that painful dysphagia is a prominent symptom. Histological examination of biopsy material is usually the diagnostic procedure.Stroboscopy was able to document a number of abnormalities which included abnormalities of laryngeal configuration, vibratory asymmetry, reduction of amplitude and mucosal wave. Symptoms responded well to antituberculous chemotherapy.


2019 ◽  
Vol 7 (19) ◽  
pp. 3262-3264
Author(s):  
Taher Felemban ◽  
Abdullah Ashi ◽  
Abdullah Sindi ◽  
Mohannad Rajab ◽  
Zuhair Al Jehani

BACKGROUND: Having hoarseness of voice as the first clinical manifestation of tuberculosis is rare. This atypical presentation causes some confusion since other more common conditions, such as laryngeal carcinoma, present similarly and might require more invasive tests to confirm the diagnosis. CASE PRESENTATION: A 38-year-old male presented to the otorhinolaryngology clinic with a four-month history of change in voice. Laryngoscopy demonstrated a right glottic mass, raising suspicion of laryngeal cancer. The computed tomography showed a mass and incidental finding of opacities in lung apices. Chest x-ray demonstrated findings suggestive of tuberculosis. Polymerase chain reaction and culture of sputum samples confirmed the diagnosis and the patient was started on anti-tuberculosis treatment. CONCLUSION: Despite accounting for only 1% of pulmonary tuberculosis cases and having a similar presentation to laryngeal carcinoma, we recommend considering laryngeal tuberculosis when evaluating hoarseness of voice in endemic areas.


2018 ◽  
Vol 27 (2) ◽  
pp. 81-83 ◽  
Author(s):  
Arzu Cengiz ◽  
Sibel Göksel ◽  
Yeşim Başal ◽  
Şule Taş Gülen ◽  
Füruzan Döğer ◽  
...  

2021 ◽  
Vol 25 (1) ◽  
Author(s):  
Camilla E. Le Roux ◽  
Sucari S.C. Vlok

Extra-pulmonary tuberculosis (EPTB), caused by Mycobacterium tuberculosis, is the leading cause of communicable disease-related deaths in people with human immunodeficiency virus (HIV) worldwide and in South Africa. Mycobacterium tuberculosis disseminates haematogenously from an active primary lung focus and may affect extra-pulmonary sites in up to 15% of patients. Extra-pulmonary TB may present with a normal chest radiograph, which often causes a significant diagnostic dilemma. This review describes the main sites of involvement in EPTB, which is illustrated by local imaging examples.


2014 ◽  
Vol 56 (2) ◽  
pp. 139-142 ◽  
Author(s):  
Yvana Maria Maia de Albuquerque ◽  
Ana Luiza Magalhães de Andrade Lima ◽  
Ana Kelly Lins ◽  
Marcelo Magalhães ◽  
Vera Magalhães

Objective: To assess quantitative real-time polymerase chain reaction (q-PCR) for the sputum smear diagnosis of pulmonary tuberculosis (PTB) in patients living with HIV/AIDS with a clinical suspicion of PTB.Method: This is a prospective study to assess the accuracy of a diagnostic test, conducted on 140 sputum specimens from 140 patients living with HIV/AIDS with a clinical suspicion of PTB, attended at two referral hospitals for people living with HIV/AIDS in the city of Recife, Pernambuco, Brazil. A Löwenstein-Jensen medium culture and 7H9 broth were used as gold standard.Results: Of the 140 sputum samples, 47 (33.6%) were positive with the gold standard. q-PCR was positive in 42 (30%) of the 140 patients. Only one (0.71%) did not correspond to the culture. The sensitivity, specificity and accuracy of the q-PCR were 87.2%, 98.9% and 95% respectively. In 39 (93%) of the 42 q-PCR positive cases, the CT (threshold cycle) was equal to or less than 37.Conclusion: q-PCR performed on sputum smears from patients living with HIV/AIDS demonstrated satisfactory sensitivity, specificity and accuracy, and may therefore be recommended as a method for diagnosing PTB.


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