Three Cases of Laryngeal Tuberculosis : Type Tendencies and Medical Considerations

Iwahashi, Toru; Mochizuki, Ryuichi; Yamamoto, Keisuke; Yamashita, Maki; Muta, Hiroshi

doi:10.2468/jbes.64.14

Cited by 3 publications

(2 citation statements)

References 1 publication

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“…The most common infection subsite was identified as the true vocal cord 40 years ago and this was also true for our series [13][14][15][16][17]. As a result, the most common chief complaint has been hoarseness for patients of all ages [13][14][15].…”

Section: Endoscopic Findingsmentioning

confidence: 85%

“…In the pre-antibiotic era, granulomatous type tuberculosis accounted for only 10% of all laryngeal tuberculosis in the 1940s. During the period 1960-1980, however, granulomatous lesions reportedly accounted for more than 60% [16][17][18], probably owing to the development of antibiotics and laryngoscopy. However, more than half of the lesions in our series showed severe forms such as perichondritic and ulcerative lesions, and this ratio surpassed that reported by Sasaki et al [18].…”

Section: Endoscopic Findingsmentioning

confidence: 99%

See 1 more Smart Citation

Laryngeal tuberculosis: A report of 17 cases

Kurokawa¹,

Nibu²,

Ichimura³

et al. 2015

Auris Nasus Larynx

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Section: Endoscopic Findingsmentioning

confidence: 85%

Section: Endoscopic Findingsmentioning

confidence: 99%

Laryngeal tuberculosis: A report of 17 cases

Kurokawa¹,

Nibu²,

Ichimura³

et al. 2015

Auris Nasus Larynx

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若年女性に発生した喉頭結核の1例

Yanagiya,

Sakai,

Iijima

et al. 2024

The Journal of the Japan Broncho-esophagological Society

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Laryngeal Tuberculosis : Report of Two Cases

2018

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喉頭結核の 2 例那須隆 1 , 2) ・倉上和也 2) ・欠畑誠治 2) Laryngeal Tuberculosis : Report of Two Cases Takashi Nasu 1 , 2) ，Kazuya Kurakami 2) and Seiji Kakehata 2) We herein report two cases of laryngeal tuberculosis. Case 1 : A 61-year-old woman presented to our clinic with a chief complaint of hoarseness for 2 months. She had no history of tuberculosis. Based on her subjective symptoms and the findings on laryngeal fiberscopy, a laryngeal granuloma induced by gastroesophageal reflux was suspected. Since her symptoms and laryngeal findings did not improve on treatment with a proton pump inhibitor for one month, she was hospitalized to undergo laryngeal granuloma resection. A pre-operative chest X-ray revealed abnormal lung shadows suggestive of pulmonary tuberculosis. A polymerase chain reaction(PCR)examination was positive for Mycobacterium tuberculosis DNA. A diagnosis of pulmonary tuberculosis was confirmed. Case 2 : An 87-year-old man presented to our clinic with a chief complaint of coughing. He did not report a history of tuberculosis. Based on the findings on laryngeal fiberscopy, we initially suspected bacterial laryngitis or a laryngeal tumor. His symptoms and laryngeal findings did not improve on treatment with antibiotics for 11 days. Since we had already encountered Case 1, we ordered a chest X-ray study and a bacteriological examination under suspicion of laryngeal tuberculosis. The patient's chest X-ray showed evidence of pulmonary tuberculosis, and a diagnosis of pulmonary tuberculosis was confirmed by a positive PCR finding of Mycobacterium tuberculosis DNA. Based on these two cases, we propose the following algorithm: When a patient presents with symptoms and findings on laryngeal fiberscopy making it difficult to determine whether it is a laryngeal tumor or laryngitis, we should initially perform conservative treatment with drugs. If symptoms do not improve, a diagnosis of laryngeal tuberculosis should be suspected. In such cases, for the early diagnosis and to prevent the further spread of infection, we should perform an imaging study such as chest X-ray, and a bacteriological examination before performing a biopsy in order to rule out a laryngeal tumor.

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Three Cases of Laryngeal Tuberculosis : Type Tendencies and Medical Considerations

Cited by 3 publications

References 1 publication

Laryngeal tuberculosis: A report of 17 cases

Laryngeal tuberculosis: A report of 17 cases

若年女性に発生した喉頭結核の1例

Laryngeal Tuberculosis : Report of Two Cases

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