ABSTRACT
Tuberculosis is the chronic granulomatose most common infection of the larynx. It appears generally from pulmonary tuberculosis. It prevails in men. The most habitual symptomatology includes dysphony, odinophagy, referred otalgy and sometimes dispnea. The majority of patients use to have radiological pulmonary affectation to the diagnosis. The nodular exophitic or ulcerous lesions can be confused with carcinoma, therefore in these cases the anatomopathologic study is essential. The diagnosis is made with positive spit samples, specific characteristics of the thorax radiography and the positive biopsies of acid-alcohol resistant bacillus. We present the patients diagnosed with laryngeal tuberculosis in our hospital between 1994 and 2004. We describe the diagnostic procedures realised and the adopted therapeutic attitude in every case and results.
Subject(s)
Mycobacterium tuberculosis/isolation & purification , Tuberculosis, Laryngeal/epidemiology , Adult , Aged , Antitubercular Agents/therapeutic use , Female , Humans , Incidence , Laryngoscopy , Male , Treatment Outcome , Tuberculosis, Laryngeal/diagnosis , Tuberculosis, Laryngeal/drug therapyABSTRACT
La tuberculosis es la infección crónica granulomatosa más común de la laringe. Aparece, generalmente a partir de una tuberculosis pulmonar. Predomina en hombres. La sintomatología más habitual incluye disfonía, odinofagia, otalgia referida ya veces disnea. La mayoría de los pacientes suelen tener afectación pulmonar radiológica al diagnóstico. Las lesiones nodulares exofiticas o ulcerosas pueden confundirse con carcinoma, por lo que en estos casos es imprescindible el estudio anatomopatológico. El diagnóstico se hace mediante muestras de esputos positivos, características específicas de la radiografia de tórax y las biopsias positivas de bacilos ácido-alcohol resistentes. Se presentan los pacientes diagnosticados de tuberculosis laríngea en nuestro hospital entre 1994 y 2004. Se describen las pruebas diagnósticas realizadas así como la actitud terapéutica adoptada en cada uno de ellos y sus resultados
Tuberculosis is the chronic granulomatose most common infection of the larynx. It appears generally from pulmonary tuberculosis. It prevails in men. The most habitual symptomatology includes dysphony, odinophagy, referred otalgy and sometimes dispnea. The majority of patients use to have radiological pulmonary affectation to the diagnosis. The nodular exophitic or ulcerous lesions can be confused with carcinoma, therefore in these cases the anatomopathologic study is essential. The diagnosis is made with positive spit samples, specific characteristics of the thorax radiography and the positive biopsies of acid-alcohol resistant bacillus. We present the patients diagnosed with laryngeal tuberculosis in our hospital between 1994 and 2004. We describe the diagnostic procedures realised and the adopted therapeutic attitude in every case and results
