无肺部受累的喉结核
Laryngeal tuberculosis without pulmonary involvement.
作者信息
Kiakojuri Keyvan, Hasanjani Roushan Mohammad Reza
机构信息
Department of Otolaryngology, Ayatollah Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran.
Infectious Diseases and Tropical Medicine Research Center, Babol University of Medical Sciences, Babol, Iran.
出版信息
Caspian J Intern Med. 2012 Winter;3(1):397-9.
BACKGROUND
Tuberculosis of the larynx is a rare form of tuberculosis. Patients usually present with hoarseness or dysphagia and other nonspecific constitutional symptoms like fever or localized pain. In this study, we present a case of primary vocal cord lesion with tuberculosis.
CASE PRESENTATION
A 72 year old man presented with hoarseness of voice, low grade fever, and night sweating with in three month duration. Laryncoscopic study showed unilateral thickening of vocal cord and biopsy of the lesion showed granuloma with caseous necrosis. Chest x-ray was normal. The patient was treated with standard regimen of tuberculosis and was cured after 6 months of therapy.
CONCLUSION
Laryngeal tuberculosis should be considered in the differential diagnosis of patients with hoarseness without pulmonary involvement in endemic regions of tuberculosis.
背景
喉结核是一种罕见的结核病形式。患者通常表现为声音嘶哑或吞咽困难以及其他非特异性全身症状，如发热或局部疼痛。在本研究中，我们报告一例原发性声带结核病变病例。
病例介绍
一名72岁男性在三个月内出现声音嘶哑、低热和盗汗。喉镜检查显示单侧声带增厚，病变活检显示肉芽肿伴干酪样坏死。胸部X线检查正常。患者接受了标准的抗结核治疗方案，治疗6个月后治愈。
结论
在结核病流行地区，对于无肺部受累的声音嘶哑患者进行鉴别诊断时应考虑喉结核。
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