A case report of difficult diagnosis in the patient with advanced laryngeal tuberculosis
| Autor: | Hirohito Nishino, Yasuhiko Tanaka, Toru Ohashi, Sigeki Sato, Izumi Koizuka, Toshihito Shinagawa, Mutsumi Kenmochi |
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| Rok vydání: | 2003 |
| Předmět: |
Male
Pathology medicine.medical_specialty Tuberculosis Biopsy Antitubercular Agents Tuberculin Computed tomography Vocal Cords Polymerase Chain Reaction Metastasis Diagnosis Differential Laryngeal Diseases medicine Humans Hoarseness medicine.diagnostic_test Tuberculin Test business.industry Laryngeal tuberculosis General Medicine Middle Aged Thyroid cartilage medicine.disease Magnetic Resonance Imaging Otorhinolaryngology Thyroid Cartilage Right wing Cervical Vertebrae Sputum Drug Therapy Combination Surgery Tuberculosis Spinal medicine.symptom Tomography X-Ray Computed business |
| Zdroj: | Auris Nasus Larynx. 30:131-134 |
| ISSN: | 0385-8146 |
| DOI: | 10.1016/s0385-8146(02)00137-2 |
| Popis: | We report a patient with severe laryngeal tuberculosis (LTB) involving thyroid cartilage and combined with whole-bone metastasis. A 57-year-old male had presented only with hoarseness. Radiological findings were indicative of suspected metastasis from a malignant tumor. However, tuberculosis was considered by histopathological findings, and so sputum samples were tested for acid-fast bacilli and purified protein derivatives of tuberculin in order to detect the presence of LTB. A polymerase chain reaction confirmed the diagnosis. Anti-tuberculous medications were effective in resolving the hoarseness, and the removal of the mass in the right wing of thyroid cartilage was confirmed by computed tomography (CT). |
| Databáze: | OpenAIRE |
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