Laryngeal tuberculosis

Lindell, M. M.; Bs, Jing; Wallace, S

doi:10.2214/ajr.129.4.677

Cited by 28 publications

(11 citation statements)

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“…Laryngeal involvement was highly contagious and usually occurred because of contiguous spread from pulmonary infection. It was noted to occur in as many as 35% to 83% of patients with pulmonary TB, accounting for 12% of head and neck involvement 8,9 . At that time the progression of TB to involve the larynx was viewed as a preterminal event, since no definitive therapy was available.…”

Section: Discussionmentioning

confidence: 99%

Laryngeal Tuberculosis in HIV‐Infected Patients: A Difficult Diagnosis

et al. 1996

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Unrecognized laryngeal tuberculosis (TB) poses a significant hazard to otolaryngologists. However, the changing manifestations of TB in patients with human immunodeficiency virus (HIV) infection can make its diagnosis difficult. In our population of 146 patients with TB involving the head and neck, HIV infection was present in 70 cases (48%). The prevalence of laryngeal TB in this population was 5.5% (8 patients). Concomitant HIV infection was present in 2 (25%) of 8 patients with laryngeal TB. A delay in the diagnosis of laryngeal TB occurred in 100% of patients with HIV infection, compared with 17% of non-HIV-infected patients (P = .055). The cause of the delayed diagnosis was multifactorial, mainly the presence of multiple confounding variables and the carcinoma-like appearance of the laryngeal TB lesions in HIV-infected patients. To reduce risk for transmission of TB to health care providers, a high level of suspicion must be present for all patients with laryngeal lesions, especially those with HIV infection.

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Section: Discussionmentioning

confidence: 99%

Laryngeal Tuberculosis in HIV‐Infected Patients: A Difficult Diagnosis

et al. 1996

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“…Today, the incidence is estimated to be less than 1 % of patients with pulmonary TB [2]. However, it may occur more often in the future because of the resurgence of TB in Western countries.…”

Section: -803)096/1662-445mentioning

confidence: 99%

“…These patients frequently pose a diagnostic problem as well as a potential threat to the examining physician because the lanyngeal lesion may simulate a carcinoma and is highly infectious. Only a few reports of the radiologic findings of laryngeal TB have appeared [1,2,6,7], most of which are descriptions of conventional radiography and lanyngography. The findings include swelling, ulceration, and masses that most frequently involve the vocal cords, epiglottis, and anyepiglottic folds [1 , 2].…”

Section: -803)096/1662-445mentioning

confidence: 99%

Laryngeal tuberculosis: CT findings.

Moon¹,

Han²,

Chang³

et al. 1996

American Journal of Roentgenology

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“…Laryngeal tuberculosis may present in varying forms, from erythematous lesion to ulceration and growth resembling carcinoma. [7] Shin et al [8] described four different types of laryngeal tuberculosis namely ulcerative (40.9%), nonspecific (27.3%), polypoidal (22.7%) and ulcero-fungating growth (9.1%). Usually, the larynx is infected either by direct spread from the lungs or by haematogenous spread from sites other than the lungs.…”

Section: Discussionmentioning

confidence: 99%

Primary Laryngeal Tuberculosis Mimicking as Supraglottic Malignancy

Gowda¹,

Kumaraswamy²,

Huchaiah³

et al. 2017

jemds

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BACKGROUNDPrimary involvement of larynx is rare, usually it occurs as secondary to pulmonary tuberculosis. The incidence of laryngeal tuberculosis is drastically reduced due to improvement in public health care and anti-tubercular treatment. On laryngoscopy, it often mimicks supraglottic malignancy, so it is better to take a biopsy and to do histopathological examination to confirm the diagnosis. MATERIALS AND METHODSA 31-year-old female patient presented to our OPD with a history of hoarseness of voice and odynophagia since 6 months. General physical examination is normal. Indirect laryngoscopic examination revealed an ulcerative lesion over the epiglottis, arytenoids and interarytenoid area. Oedema and hyperaemia are noticed over the supraglottic larynx. Vocal cords are mobile on both the sides. Direct laryngoscopy and biopsy is taken to confirm the diagnosis. RESULTSThe histopathological examination revealed hyperplastic squamous epithelium with epithelioid cells and Langhans giant cells. The patient is started on anti-tubercular treatment. CONCLUSIONAfter 6 months of treatment, patient became completely asymptomatic and the lesions disappeared. Tuberculosis of larynx should be suspected in cases presenting with hoarseness of voice and odynophagia mimicking a 'laryngopharyngeal malignancy.'

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Laryngeal tuberculosis

Cited by 28 publications

References 1 publication

Laryngeal Tuberculosis in HIV‐Infected Patients: A Difficult Diagnosis

Laryngeal Tuberculosis in HIV‐Infected Patients: A Difficult Diagnosis

Laryngeal tuberculosis: CT findings.

Primary Laryngeal Tuberculosis Mimicking as Supraglottic Malignancy

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