Features of patients with laryngeal tuberculosis


Ucar N., Ciftci B., Calisir H. C. , ULUKAVAK ÇİFTÇİ T. , Oegretensoy M.

TURKIYE KLINIKLERI TIP BILIMLERI DERGISI, vol.28, no.4, pp.473-477, 2008 (Journal Indexed in SCI) identifier identifier

  • Publication Type: Article / Article
  • Volume: 28 Issue: 4
  • Publication Date: 2008
  • Title of Journal : TURKIYE KLINIKLERI TIP BILIMLERI DERGISI
  • Page Numbers: pp.473-477

Abstract

Objective: The aim of this study was to evaluate the clinical and radiological properties of patients with pulmonary and laryngeal tuberculosis (tbc) who were followed in our hospital. Material and Methods: Fifteen patients with laryngeal the were detected among 6229 patients who had been treated for pulmonary tbc in our hospital. They were retrospectively analyzed. Results: Fourteen patients were male and one patient was female. The mean age was 39.4 +/- 7.6 (24-51). All were snickers with an average of 28.9 (1-80) pack-years. Four patients had a family history of tbc. In addition to pulmonary symptoms, 14 (93.33%) had hoarseness, 10 (66.6%) had dysphagia, 2 (13.3%) had odynophagia and I patient (6.66%) had laryngeal strider. Mean duration of hoarseness was 86.6 + 54.9 days. Chest x-ray revealed 12 (80%) bilateral disseminated infiltrations, 5 (33.3%) cavitary lesions and 3 (20%) unilateral infiltrations. All patients (I female, 14 males) had positive smears (category 1). Thirteen patients had been examined with laryngoscope and tissue samples had been obtained from nodular lesions in 7 patients with the suspicion of larynx malignancy. Larynx tbc was diagnosed with biopsy in 10 patients and with clinical and laryngoscopic features in 5 patients. Thirteen patients were treated with isoniasid (H), rifampicin (R), morfazinamide (Z) and ethambutol (E) and two patients were treated with H,R,Z and streptomycin (S). Conclusion: Tbc of the larynx should be considered in the differential diagnosis of patients with hoarseness of long duration or nodular laryngeal lesions.