Skip to main content

Advertisement

Log in

Laryngeal involvement in patients with active pulmonary tuberculosis

  • Laryngology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. World Health Organization (2001). Global tuberculosis control, WHO report 2001. Geneva, Switzerland, WHO/CDS/TB/2001.287

  2. Mert A (2003) Erişkinlerde yüzeysel tüberküloz lenfadenopati. Proceedings of tuberculosis and its diagnosis in 21st century symposium, Samsun, Turkey, pp 93–105

  3. Munck K, Mandpe AH (2003) Mycobacterial infections of the head and neck. Otolaryngol Clin North Am 36(4):569–76

    Article  PubMed  Google Scholar 

  4. Beg MH, Marfani S (1985) The larynx in pulmonary tuberculosis. J Laryngol Otol 99(2):201–203

    Article  PubMed  CAS  Google Scholar 

  5. Rohwedder JJ (1974) Upper respiratory tract tuberculosis. Sixteen cases in a general hospital. Ann Intern Med 80(6):708–713

    PubMed  CAS  Google Scholar 

  6. Brodovsky DM (1975) Laryngeal tuberculosis in an age of chemotherapy. Can J Otolaryngol 4(1):168–176

    PubMed  CAS  Google Scholar 

  7. Williams RG, Douglas-Jones T (1995) Mycobacterium marches back. J Laryngol Otol 109(1):5–13

    Article  PubMed  CAS  Google Scholar 

  8. Diagnostic standards and classification of tuberculosis in adults and children (2000) This official statement of the American Thoracic Society and the Centers for Disease Control and Prevention was adopted by the ATS Board of Directors, July 1999. This statement was endorsed by the Council of the Infectious Disease Society of America, September 1999. Am J Respir Crit Care Med 161(4 Pt 1):1376–1395

    Google Scholar 

  9. Manni H (1983) Laryngeal tuberculosis in Tanzania. J Laryngol Otol 97(6):565–570

    Article  PubMed  CAS  Google Scholar 

  10. Fetterhof G (1914) Cited by Du Plessis A, Hussey G (1987). Laryngeal tuberculosis in childhood. Pediatr Infect Dis J 6:678–681

    Google Scholar 

  11. Borgdorff MW, Nagelkerke NJ, Dye C, Nunn P (2000) Gender and tuberculosis: a comparison of prevalence surveys with notification data to explore sex differences in case detection. Int J Tuberc Lung Dis 4(2):123–132

    PubMed  CAS  Google Scholar 

  12. Holmes CB, Hausler H, Nunn P (1998) A review of sex differences in the epidemiology of tuberculosis. Int J Tuberc Lung Dis 2(2):96–104

    PubMed  CAS  Google Scholar 

  13. Tu HY, Li HY, Huang TS (1997) Laryngeal tuberculosis: a series of 46 patients. Changgeng Yi Xue Za Zhi 20(2):94–99

    PubMed  CAS  Google Scholar 

  14. Martinez AN, Rhee JT, Small PM, Behr MA (2000) Sex differences in the epidemiology of tuberculosis in San Francisco. Int J Tuberc Lung Dis 4(1):26–31

    PubMed  CAS  Google Scholar 

  15. Watkins RE, Plant AJ (2006) Does smoking explain sex differences in the global tuberculosis epidemic? Epidemiol Infect 134(2):333–339

    Article  PubMed  CAS  Google Scholar 

  16. Shin JE, Nam SY, Yoo SJ, Kim SY (2000) Changing trends in clinical manifestations of laryngeal tuberculosis. Laryngoscope 110:1950–1953

    Article  PubMed  CAS  Google Scholar 

  17. Ramadan HH, Tarazi AE, Baroudy FM (1993) Laryngeal tuberculosis: presentation of 16 cases and review of the literature. J Otolaryngol 22(1):39–41

    PubMed  CAS  Google Scholar 

  18. Riley EC, Amundson DE (1992) Laryngeal tuberculosis revised. Am Fam Physician 49:759–762

    Google Scholar 

  19. Bailey CM, Windle-Taylor PC (1981) Tuberculous laryngitis: a series of 37 patients. Laryngoscope 91(1):93–100

    Article  PubMed  CAS  Google Scholar 

  20. Thaller SR, Gross JR, Pilch BZ, Goodman ML (1987) Laryngeal tuberculosis as manifested in the decades 1963–1983. Laryngoscope 97(7 Pt 1):848–850

    PubMed  CAS  Google Scholar 

  21. Harney M, Hone S, Timon C, Donnelly M (2000) Laryngeal tuberculosis: an important diagnosis. J Laryngol Otol 114(11):878–880

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Cagatay Oysu.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Topak, M., Oysu, C., Yelken, K. et al. Laryngeal involvement in patients with active pulmonary tuberculosis. Eur Arch Otorhinolaryngol 265, 327–330 (2008). https://doi.org/10.1007/s00405-007-0459-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00405-007-0459-x

Keywords

Navigation