Primary Laryngeal Tuberculosis as a Cause of Persistent Hoarseness—A Case Report

Laryngeal tuberculosis is an uncommon disease of the larynx that can easily be missed. It is however the commonest granulomatous laryngeal pathology. Laryngeal tuberculosis and laryngeal cancer both have similar modes of clinical presentation. We present a case of isolated laryngeal tuberculosis in a 38-year-old Nigerian female, who presented with persistent hoarseness of 3 months duration with no respiratory symptoms and signs. Fiberoptic laryngoscopy showed hyperemia and oedema of the endolarynx, mucoid exudate and thickening of both false and true vocal cords. Tuberculosis was confirmed by gene Xpert. She was placed on rifampicin, isoniazid, pyrazinamide and ethambutol for two months intensive phase and rifampicin and isoniazid for four months continuation phase. There was complete resolution of hoarseness after completion of anti-tuberculous therapy.

妊娠期喉结核临床分析

目的分析妊娠期喉结核的临床特点,减少误诊及不当治疗。方法选取厦门市妇幼保健院2010~2018年收治的4例妊娠期喉结核患者进行回顾性分析,总结分析其临床资料、病情特点及诊疗情况。结果 2例初诊为喉肿物,2例为急性咽喉部炎症,予抗生素治疗无效,行喉镜检查诊断为喉肿物。2例孕早期患者适时结束妊娠,4例患者均接受常规抗结核治疗,预后良好。结论妊娠期喉结核对母婴健康有较大影响,临床医师应提高认识,对疑似喉结核患者,进行喉镜检查和病理活检。

喉结核的研究现状

喉结核是呼吸系统结核病中最常见的肺外结核,也是目前喉部发病率最高的肉芽肿性疾病之一。近年来该病发病率有七升趋势,且其临床特征较过去发生很大改变,临床上易被漏诊、误诊,本文就喉结核的研究现状作一综述。