Laryngeal involvement in patients with active pulmonary tuberculosis

• DOI: 10.1007/s00405-007-0459-x
• Publication Date: 2007-10-05T08:59:23Z
• Authors: Murat Topak; Cagatay Oysu; Kursat Yelken; Asli Sahin-Yilmaz; Mehmet Kulekci
• Keywords: Adult; Aged, 80 and over; Male; Adolescent; Laryngoscopy; Incidence; Middle Aged; 3. Good health; 03 medical and health sciences; Tuberculosis, Laryngeal; 0302 clinical medicine; Humans; Female; Tuberculosis, Pulmonary; Aged

The aim of this study was to determine the incidence of laryngeal tuberculosis (LT) among patients with active pulmonary tuberculosis. A total of 319 patients under treatment for pulmonary tuberculosis were subjected to laryngoscopy. Five patients (1.5%) with LT were identified. Odynophagia was the most common complaint, followed by alteration in voice. The larynx returned to its normal appearance in 3-8 months (average 18 weeks) by antituberculous medication. Physicians dealing with pulmonary tuberculosis should keep in mind that symptoms of laryngeal involvement may be minor, and laryngoscopy should always be performed when laryngeal involvement is suspected in order to isolate highly infectious patients. Response to antituberculous medication is usually late in LT and diagnosis by "wait and watch" policy will cause a significant delay in the diagnosis of a possible larynx carcinoma.