Pulmonary tuberculosis in an immunocompetent patient with primary laryngeal aspergillosis
| Autor: | Bijoy Pada Gope, Nirmal Kanti Sarkar |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Pulmonary and Respiratory Medicine
Larynx medicine.medical_specialty Tuberculosis Laryngoscopy Case Report Case Reports Disease Aspergillosis 03 medical and health sciences 0302 clinical medicine healthcare worker Pulmonary tuberculosis medicine larynx lcsh:RC705-779 medicine.diagnostic_test business.industry lcsh:Diseases of the respiratory system medicine.disease Dermatology medicine.anatomical_structure 030228 respiratory system 030220 oncology & carcinogenesis Vocal folds Concomitant business pulmonary tuberculosis |
| Zdroj: | Respirology Case Reports, Vol 8, Iss 5, Pp n/a-n/a (2020) Respirology Case Reports |
| ISSN: | 2051-3380 |
| Popis: | Primary laryngeal aspergillosis in an immunocompetent host is a rare entity. On the other hand, pulmonary tuberculosis (PTB) among healthcare workers in a tuberculosis endemic zone with high risk of exposure is not uncommon but may be underdiagnosed especially when masquerading as another disease. In this report, we are presenting a 45‐year‐old physician who presented with chronic dry cough, hoarseness of voice, and progressive vocal fatigue. Fibreoptic laryngoscopy (FOL) showed whitish patches on both vocal folds and he was initially diagnosed with laryngeal aspergillosis following histopathological examination. As there was no significant improvement on antifungal treatment, we re‐evaluated the case and, on further investigation, concomitant PTB was detected. Patient responded to category‐I anti‐tubercular drugs with complete recovery. A 45‐year‐old physician presented with dry cough and progressive vocal fatigue and was diagnosed as primary laryngeal aspergillosis. Further work‐up revealed coexistent pulmonary tuberculosis. |
| Databáze: | OpenAIRE |
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