2013
DOI: 10.3126/saarctb.v10i1.8676
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Laryngeal Tuberculosis Presenting With Primary Symptoms Of Laryngeal Carcinoma

Abstract: 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 w… Show more

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“…It was decided to shift the patient to an isolation room and later proceed with direct laryngoscopy and biopsy with the addition of bronchoalveolar lavage. Results confirmed TB and the patient were started on ATT with symptoms resolution on one-month follow up [4].…”
Section: Discussionmentioning
confidence: 82%
“…It was decided to shift the patient to an isolation room and later proceed with direct laryngoscopy and biopsy with the addition of bronchoalveolar lavage. Results confirmed TB and the patient were started on ATT with symptoms resolution on one-month follow up [4].…”
Section: Discussionmentioning
confidence: 82%
“…Few hypotheses have explained the infection pathways to the larynx and the hematogenous spread is the one most accepted. The airborne theory of contamination, advocate that the bacilli directly contaminate the mucosa, whereas in the lymphatic hypotheses thought there was a retrograde contamination from the tracheobronchial lymph nodes by explaining the frequent ipsilateral involvement seen in laryngeal and pulmonary lesions 7 . Laryngeal involvement has been observed in 15% to 37% of the cases of pulmonary tuberculosis, but as primary involvement it account only 19% of the tuberculosis cases 8 .…”
Section: Discussionmentioning
confidence: 99%