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Case report
Laryngeal tuberculosis: a neglected diagnosis
  1. Reshma Raj1,
  2. Parul Sud1,
  3. Neha Saharan2 and
  4. Ramandeep Singh Virk1
  1. 1ENT, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  2. 2Pathology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  1. Correspondence to Dr Ramandeep Singh Virk; virkdoc{at}hotmail.com

Abstract

A 24-year-old woman visited the Ear Nose Throat (ENT) outpatient department with complaints of hoarseness for 2 months not responding to conservative management. Laryngoscopic examination revealed a whitish ulceroproliferative lesion in the anterior commissure and anterior two-thirds of bilateral true vocal cords with surrounding necrosis. In view of the above findings, the patient was planned for biopsy under general anaesthesia. Intraoperative findings showed multiple whitish necrotic friable tissue involving anterior two-thirds of bilateral false vocal cords, ventricle, bilateral true vocal cords, both aryepiglottic folds and laryngeal surface of epiglottis. Postoperative histopathology was consistent with tuberculosis. A pulmonology consultation was taken, and the patient was started on anti-tuberculosis chemotherapy. One month post therapy, the voice was symptomatically better. A flexible fibreoptic laryngoscopic examination was done, which revealed almost complete resolution of the lesion with minimal ulceration at the anterior one-third of right true vocal cord.

  • TB and other respiratory infections
  • otolaryngology / ENT

https://doi.org/10.1136/bcr-2021-248095

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    Footnotes

    • Contributors RR was involved in taking care of the patient when admitted in the ward and follow-up of the patient and has written the first draft. PS was the speech pathologist who analysed the patient’s voice and edited the first draft. NS was involved in analysing the histopathological examination of the biopsy. RSV is the consultant in charge for the patient, had operated on the patient, followed up the patient, has seen, edited and takes responsibility for the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.