Three cases of the laryngeal tuberculosis and it's recent trends.

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We have recently experienced three cases of the laryngeal tuberculosis. These cases were reported with some discussion.Case 1: 57-year-old female visited emergently our hospital with complaints of dyspnea, hoarseness and general malaise. In the larynx, large granulomatuos tumor involving superior surface of false vocal fold and epiglottis and adjacent ventricule were found. Dyspnea and general malaise were diagnosed to be caused by miliary tuberculosis. She died 5 days after by disseminated intravascular coagulation (DIC) before initiation of adequate chemotherapy.Case 2: 56-year-old male presented with 3 month history of slight discomfort in the throat. The patient had been under the care of an interest for several month following an episode of common cold. In the larynx, granulations and ulcerative lesion were found in false vocal fold. These complaints and lesions were much improved by administration of antituberculous agents for about a month.Case 3: 46-year-old male presented with 4 month history of hoarseness and pain on swallowing. There was no history of previous tuberculosis or contact with an active case of this disease. From epiglottis to aryepiglottic fold, edema and mucosal redness were visible, and granulomas in the false vocal fold and arytenoid were found. After the chemotherapy for tuberculosis, these lesions changed into perichondritis and thickening of mucosa in epiglottis and interarytenoid area with fixation of vocal fold.From these three cases the following points could be summarized.1) All cases were bronchogenic infection due to active pulmonary tuberculosis.2) Although case No. 1 and 2 had been pointed out abnormality in previous chest X-ray, they left them as they were.3) Granulomatous lesions of larynx responded well to antituberculous chemotherapy except case No. 1.4) Perichondritic changes were the final findings of laryngeal tuberculosis in all cases.
耳鼻咽喉科臨床学会の論文

Three cases of the laryngeal tuberculosis and it's recent trends.

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