Frequency of Otorhinolaryngologies' Manifestations in Patients with Pulmonary Tuberculosis

Abstract

Summary Introduction:?The tuberculosis continues being a world problem and in the last years had an increase in his incidence mainly by the growing number of patients with HIV. The tuberculosis has like an etiologic agent the Mycobacterium tuberculosis that possesses a period of latency generally prolonged between the initial infection and the illness. That illness can affect diverse organs and systems. M Method:?This study is descriptive, transversal and prospective. Within, patients diagnosed with pulmonary tuberculosis by the service of pneumologia of the outpatient clinic Ara?jo Lima of the Federal University of the Amazon (UFAM), in Manaus, between the period of July of 2005 and May of 2006 were submitted to otorhinolaryngological exam in search of manifestations of the illness. Objectives:?The main objective of the study was estimate the predominance of otorhinolaryngological manifestations in patients with tuberculosis and to describe the frequencies of the different manifestations. Results:?They were analyzed 15 cases of pulmonary tuberculosis confirmed by the baciloscopia, being 7 of the female sex and 8 of the male sex. The majority of the patients were young adults between the third and fourth decade of life (46,7%). Only one of the patients had co-infection with the HIV virus. Conclusion:?The otorhinolaryngological affection by the tuberculosis was observed in 2 patients corresponding to 13.33% of the sample, being a patient with tubercular medium otitis and a patient with linfoadenopatia cervical.

A Study of Manifestations of Extrapulmonary Tuberculosis in the ENT Region

“…The age distribution shows a normal pattern with a peak of 38.4 % in the fourth decade of life. This is as per the distribution reported by Chakravarty et al [1,6]. It has been reported that usually PTB is not associated with EPTB.…”

“…Dysphonia is the commonest presenting complaint with pain also being a prominent feature in laryngeal TB [1,[15][16][17][18]. Though all our patients complained of hoarseness, pain was not a chief complaint.…”

“…Out of the many extra pulmonary manifestations of TB, a large proportion turns up in ear, nose and throat (ENT) region in the form of cervical lymphadenopathy, otitis media, laryngitis, pharyngitis and nasal TB [1]. Many times tuberculous affliction of atypical organs mimic other conditions and may delay diagnosis and worse still may lead to wrong treatment plans.…”

ENT Manifestations in Tuberculosis

“…Lymph node TB may result from dissemination via the blood stream, of bacillary pulmonary foci [13], as well as from the bacilli gaining entrance via the tonsils, dental or pharyngeal foci [14]. It is located most frequently in the cervical, supraclavicular and hilar and mediastinal regions.…”

“…It is one of the most prevalent forms of TB in the head and neck. In general, it presents itself insidiously with a gradual increase in the lymph node and evolution to caseification [14].…”