ABSTRACT
The incidence of tuberculosis has lately increased in developed countries. The most frequent affectation is the pulmonar one and in the ORL area the laryngeal. The lingual affectation is exceptional. We present a case of a man 39 years old, with bilateral pulmonar, left vocal cord and mobile tongue affectation, negative Mantoux, positive spit culture and presence of acido-alcohol resistent bacillus in lingual and laryngeal biopsies. After antituberculosis treatment during 6 months the laryngeal and lingual lesions disappeared. We have only found two cases published of simultaneous tuberculosis in these three localisations in the last 30 years.
Subject(s)
Tongue Diseases/complications , Tuberculosis, Laryngeal/complications , Tuberculosis, Pulmonary/complications , Tuberculosis/complications , Vocal Cords , Adult , Antitubercular Agents/administration & dosage , Antitubercular Agents/therapeutic use , Biopsy , Humans , Larynx/pathology , Male , Mycobacterium tuberculosis/isolation & purification , Radiography, Thoracic , Time Factors , Tongue/pathology , Tongue Diseases/drug therapy , Tongue Diseases/microbiology , Tongue Diseases/pathology , Treatment Outcome , Tuberculosis/drug therapy , Tuberculosis/microbiology , Tuberculosis, Laryngeal/drug therapy , Tuberculosis, Laryngeal/microbiology , Tuberculosis, Pulmonary/diagnostic imaging , Tuberculosis, Pulmonary/drug therapy , Tuberculosis, Pulmonary/microbiologyABSTRACT
La incidencia de tuberculosis ha aumentado ultimamente en los países desarrollados. La forma de afectación más frecuente es la pulmonar, y en el área ORL la laríngea. La afectación a nivel lingual es excepcional. Presentamos el caso de un hombre de 39 años con afectación pulmonar bilateral, cuerda vocal izquierda y lengua móvil. Mantoux negativo, cultivo de esputo positivo y presencia de bacilos ácido-alcohol resistentes en biopsias lingual y laríngea. Tras tratamiento antituberculoso durante 6 meses desaparecieron las lesiones laríngeas y linguales. Solo hemos encontrado 2 casos publicados de tuberculosis simultánea en estas tres localizaciones en los últimos 30 años
The incidence of tuberculosis has lately increased in developed countries. The most frequent affectation is the pulmonar one and in the ORL area the laryngeal. The lingual affectation is exceptional. We present a case of a man 39 years old, with bilateral pulmonar, left vocal cord and mobile tongue affectation, negative Mantoux, positive spit culture and presence of acido-alcohol resistent bacillus in lingual and laryngeal biopsies. After antituberculosis treatment during 6 months the laryngeal and lingual lesions disappeared. We have only found two cases published of simultaneous tuberculosis in these three localisations in the last 30 years
