1/10. A case of tuberculosis in Memphis.The resurgence of tuberculosis has been of increasing concern to public health. Laryngeal and cutaneous tuberculosis have long been regarded as two of the most infectious forms of the disease. In this article, we re-emphasize the public health consequences of a case of laryngeal TB, which must be considered in the differential diagnosis of a patient with persistent fever, cough, weight loss, and hoarseness.- - - - - - - - - - ranking = 1keywords = tuberculosis (Clic here for more details about this article) |
2/10. A case report of difficult diagnosis in the patient with advanced laryngeal tuberculosis.We report a patient with severe laryngeal tuberculosis (LTB) involving thyroid cartilage and combined with whole-bone metastasis. A 57-year-old male had presented only with hoarseness. Radiological findings were indicative of suspected metastasis from a malignant tumor. However, tuberculosis was considered by histopathological findings, and so sputum samples were tested for acid-fast bacilli and purified protein derivatives of tuberculin in order to detect the presence of LTB. A polymerase chain reaction confirmed the diagnosis. Anti-tuberculous medications were effective in resolving the hoarseness, and the removal of the mass in the right wing of thyroid cartilage was confirmed by computed tomography (CT).- - - - - - - - - - ranking = 1keywords = tuberculosis (Clic here for more details about this article) |
3/10. Pseudo tumoral laryngeal tuberculosis.An 11-year-old female child presented with high grade intermittent fever and cough for a duration of 6-7 months and hoarseness of voice for 6 months. Skiagram of the chest showed evidence of miliary mottling. Direct laryngoscopic examination revealed inflammatory swelling over left vocal cord. The biopsy of the swelling showed chronic granulomatous lesion. Patient improved remarkably with anti-tubercular therapy.- - - - - - - - - - ranking = 0.66666666666667keywords = tuberculosis (Clic here for more details about this article) |
4/10. A young man with hoarseness of voice.A 45 year-old driver presented with a two months history of hoarseness, fever, productive cough, anorexia and weight loss. He chewed tobacco. He was previously seen and treated without benefit by a family Physician and two ear, nose and throat consultants. Crackles were heard in the left scapular region. An X-Ray of the chest showed a right apical cavity, perihilar infiltrates and blunting of left costophrenic angle. His sputum smear showed acid fast bacilli. A high index of suspicion for tuberculosis is recommended while dealing with such cases. Complete recovery of patient's voice with anti-tubercular therapy confirmed it was a case of laryngeal tuberculosis.- - - - - - - - - - ranking = 0.33333333333333keywords = tuberculosis (Clic here for more details about this article) |
5/10. thyroid gland tuberculosis with endolaryngeal extension: a case with laryngotracheal dyspnoea.tuberculosis affecting the thyroid gland is a rare condition. We present the case of a 30-year-old man with thyroid tuberculosis whose presenting complaints were dyspnoea and hoarseness. There was a cystic mass in the posterosuperior right thyroid lobe extending into the paraglottic space. There was also recurrent laryngeal nerve involvement. We performed surgery and administered post-operative antituberculous treatment.- - - - - - - - - - ranking = 0.83333333333333keywords = tuberculosis (Clic here for more details about this article) |
6/10. Laryngeal tuberculosis: an important issue.In developing countries like indonesia, pulmonary tuberculosis still ranks among the major health problems and the prevalence of laryngeal tuberculosis are therefore still high. It is important for physicians and otolaryngologist to recognize the cardinal sign and symptoms of laryngeal tuberculosis in order to make an early diagnosis. An illustration of four cases with laryngeal tuberculosis is reported. All cases presented with hoarseness and diagnosis of laryngeal and pulmonary tuberculosis were made at ENT department.- - - - - - - - - - ranking = 1.5keywords = tuberculosis (Clic here for more details about this article) |
7/10. Laryngeal tuberculosis in the eighties--an Indian experience.Laryngeal tuberculosis is one of the rarer forms of extrapulmonary tuberculosis. A retrospective analysis of 26 patients seen in the last nine years in our hospital was conducted to illustrate the various modes of clinical presentation. Of the 26 patients, twenty were male and six female. The average age of presentation was 47 years with an age range of 15 months to 71 years. hoarseness (92.3 per cent) was the commonest symptom. The laryngoscopic appearances often simulated malignancy. Most patients (69.2 per cent) had lesions involving the anterior two-thirds of the true vocal cords. Hypertrophic lesions (69.2 per cent) out-numbered ulcerative ones (38.5 per cent). Laryngeal oedema was infrequent (7.7 per cent). Diagnosis was based on a laryngeal biopsy in 18 patients and on evidence of associated pulmonary tuberculosis and response to anti-tuberculous therapy in eight. Chest x-rays showed apical cavitation and infiltration as the commonest findings. Three patients had miliary tuberculosis and one had no pulmonary lesion. diabetes mellitus was present in seven (26.9 per cent) patients. Four illustrative cases are described. The problems in diagnosis and management of laryngeal tuberculosis are discussed.- - - - - - - - - - ranking = 1.5keywords = tuberculosis (Clic here for more details about this article) |
8/10. Laryngeal tuberculosis: review of twenty cases.Despite a dramatic reduction in incidence of laryngeal tuberculosis over the last three decades, tuberculous involvement still has to be considered in the differential diagnosis of laryngeal lesions. The majority of the 20 cases in our series consists of patients in whom the working diagnosis of carcinoma of the larynx was initially made. These patients presented with the chief complaint of hoarseness of several months duration, frequently associated with dysphagia, but in most cases with chest symptoms that were not prominent despite the fact that most of these patients had far advanced pulmonary tuberculosis. This presentation consists of a detailed analysis of 20 cases, and a discussion of the incidence, pathogenesis, clinical presentation and management of laryngeal tuberculosis.- - - - - - - - - - ranking = 1.1666666666667keywords = tuberculosis (Clic here for more details about this article) |
9/10. Laryngeal tuberculosis presenting as carcinoma.A typical patient had laryngeal tuberculosis (TB) mimicking carcinoma. The accompanying patient complaints from a representative literature survey are discussed. The difficulty of clinically differentiating laryngeal carcinoma from TB or another granulomatous process is stressed, as in the utility of obtaining a simple chest roentgenogram, a TB skin test, and, when indicated, a sputum examination. The pathogenesis of laryngeal TB and the treatment of health care personnel exposed to such a patient also is mentioned. The spectrum of TB, as well as the spectrum of physicians treating TB, is changing. The presence of a laryngeal process in a patient with active pulmonary TB is an important association that must not be overlooked.- - - - - - - - - - ranking = 0.83333333333333keywords = tuberculosis (Clic here for more details about this article) |
10/10. Tuberculous laryngitis in a Nigerian child.A 12.5-year-old Nigerian child presented with progressively worsening hoarseness of 9 months duration, without overt features of chronic ill health. Superficial discrete cervical adenitis, radiological evidence of miliary tuberculosis and hilar adenopathy were identified on admission. The laryngoscopic findings comprised fully mobile but 'beefy' red, oedematous vocal cords and interarytenoid region. The diagnosis of tuberculous laryngitis was made on the basis of the laryngoscopic, radiological and clinical improvement that followed antituberculous therapy. The possible pathogeneses of tuberculous laryngitis are discussed. We emphasize the importance of considering tuberculous laryngitis in a child with persistent hoarseness.- - - - - - - - - - ranking = 0.16666666666667keywords = tuberculosis (Clic here for more details about this article) |
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