Hoarseness of Voice as a Rare Presentation of Tuberculosis: A Case Report Study

Felemban, Taher; Ashi, Abdullah; Sindi, Abdullah; Rajab, Mohannad; Jehani, Zuhair Al

doi:10.3889/oamjms.2019.817

Cited by 4 publications

(3 citation statements)

References 5 publications

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“…We are reporting a case of dysphonia which has revealed an unknown lung involvement. Similar cases had been reported [9] [10]. They all have in common laryngeal cancer as an eliminatory diagnosis.…”

Section: Discussionsupporting

confidence: 82%

A Chronic Dysphony Caused by a Bifocal and Pulmonary Laryngeal Tuberculosis

Faty¹,

Sy²,

Ngom³

et al. 2023

IJOHNS

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Laryngeal tuberculosis is a rare entity. We consider the case of a woman of 62 who presented a one-year evolving chronic dysphonia chart associated with cough, febricula and general health damage. The nasofibroscopy showed a budding ulcerous lesion of the larynx a priori evoking a granulomatous lesion or cancer. The BAAR spits were strongly positive and the radiographic pictures of the thorax, typically evoked a pulmonary tuberculosis. Seeing the excellent therapeutic response to TB treatment in 4 months period, the bifocal tuberculosis diagnostic was confirmed.

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Section: Discussionsupporting

confidence: 82%

A Chronic Dysphony Caused by a Bifocal and Pulmonary Laryngeal Tuberculosis

Faty¹,

Sy²,

Ngom³

et al. 2023

IJOHNS

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“…Our laryngeal TB case also had a co-existing active primary pulmonary tuberculosis. Presenting symptoms include dysphonia, cough, odynophagia, dyspnoea, dysphagia, hoarseness of voice and weight loss [ 9 ]. Patients undergoing direct laryngoscopy and biopsy have laryngeal TB detected in 6.25 % of cases.…”

Section: Discussionmentioning

confidence: 99%

Spectrum of mycobacterial pathogens responsible for head and neck tuberculosis-like presentation

Bala

Kumari

Monga

et al. 2021

Access Microbiology

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Tuberculosis (TB) of the head and neck can be contained in the lymph nodes, larynx, oropharynx, salivary glands, nose and paranasal sinuses, ear, skin and skull. Head and neck TB presentations are varied in nature and thus difficult to diagnose. The clinical features, radiological findings, microbiological diagnostic modalities, surgical and medical management and outcomes of nine cases of head and neck TB are discussed in detail here, together with a thorough review of the literature. Patients presented with atypical symptoms such as discharging sinus, ear lobule swelling, otitis media, vision loss and facial weakness, long refractory otorrhoea and granulation tissue in the ear canal. We diagnosed tubercular skull base osteomyelitis (one case) and laryngeal tuberculosis (two cases), mastoid tuberculosis (one case) and non-tubercular mycobacterial infection involving the temporal bone (two cases), sino-nasal region (one case), maxilla (one cases) and ear lobule (one case) over a period of 8 months. All patients were managed successfully with a combination of surgery and a well-planned treatment regimen for non-tuberculous mycobacteria (NTM) or anti-tubercular drugs for TB. All had successful outcomes except one patient with tubercular skull base osteomyelitis who expired before the initiation of anti-tubercular therapy (ATT). High clinical suspicion followed by thorough diagnostic work-up for both TB and NTM would enable early diagnosis and complete treatment.

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“…결핵 사망률 3위(인구 10만명당 3.8명)로 다른 고소득 국가에 비해 높은 결핵 부담을 지니고 있다 [4]. 저자의 문헌조사에 의 하면 애성을 주소로 내원하여 후두의 침범없이 폐결핵이 진단 된 증례는 국내에 보고된 바 없으며, 국외에 보고된 드문 증 례에서는 후두내시경 검사상 성대에 궤양성 병변 또는 육아 종성 병변을 동반한 경우였다 [5,6].…”

Section: Jkslpunclassified

A Case of Pulmonary Tuberculosis Misconceived as Functional Dysphonia

Lee,

Jang,

Kim

et al. 2023

J Korean Soc Laryngol Phoniatr Logop

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Functional dysphonia (FD) refers to a voice disorder without any anatomical or neurologic pathology affecting the larynx. The beginning of a diagnosis of FD is to differentiate the patient’s voice symptoms from other organic voice disorders and other functional voice problems. Pulmonary tuberculosis initially presented by voice change is very rare. This atypical presentation might cause some confusion due to other more common diseases. We report a case of pulmonary tuberculosis as initial presentation of dysphonia in a 16-year-old girl. The patient was referred to our hospital with a gradually worsening dysphonia for 6 months. At first, it was misdiagnosed as FD because there was no specific finding on stroboscopy. One month later, she was finally diagnosed as pulmonary tuberculosis due to fever and pleuritic pain. After antituberculous therapy, her symptoms and voice have improved.

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Hoarseness of Voice as a Rare Presentation of Tuberculosis: A Case Report Study

Cited by 4 publications

References 5 publications

A Chronic Dysphony Caused by a Bifocal and Pulmonary Laryngeal Tuberculosis

A Chronic Dysphony Caused by a Bifocal and Pulmonary Laryngeal Tuberculosis

Spectrum of mycobacterial pathogens responsible for head and neck tuberculosis-like presentation

A Case of Pulmonary Tuberculosis Misconceived as Functional Dysphonia

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