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  • Title: Primary laryngeal tuberculosis: An unusual cause of hoarseness.
    Author: Fsadni P, Fsadni C, Caruana Montaldo B.
    Journal: Ear Nose Throat J; 2014; 93(10-11):E15-7. PubMed ID: 25397382.
    Abstract:
    Tuberculosis (TB) of the larynx is usually associated with concomitant pulmonary TB, but approximately 20% of cases represent primary disease. We report the case of an 85-year-old woman with asthma who presented with a 6-month history of persistent hoarseness. Bronchoscopy confirmed the presence of a lesion in the hemilarynx, and histology identified tuberculoid granulomas that were suggestive of TB. Treatment with a combination of isoniazid, rifampicin, pyrazinamide, and ethambutol led to a complete resolution of symptoms. A high index of suspicion for laryngeal TB is required in patients who present with hoarseness.
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