RESUMO
The purpose of this study is to present epidemiological, clinical, radiological, histological characteristics and treatment of laryngeal tuberculosis. It is also aimed at making the point about diagnosis difficulties. This retrospective study was conducted over three years; it concerned 4 cases, 3 males and one female. The average age was 35 years. Three of the 4 cases have had a cervical CT scan. All patients have had a laryngoscopy with biopsy and anatomopathological study. The onset modes of the disease have been progressive for all the patients. Topographical study has shown two epiglottic locations, one at the vocal cords and the other one at the posterior commissure. The diagnosis was orientated in the 3 cases by the CT scan and confirmed by anatomopathological exam in all cases. All patients have received anti-TB drugs with good evolution. The laryngeal location of tuberculosis is unusual. The clinical picture is nonspecific, raising the issue of differential diagnosis with tumor pathology. Sectional imaging and CT scan can guide the diagnosis and a positive diagnosis is often discovered on the occasion of a tumor biopsy of a pseudo-tumor lesion. Treatment is based on anti-TB drugs.
Assuntos
Laringe , Neoplasias , Tuberculose Laríngea , Masculino , Humanos , Feminino , Adulto , Tuberculose Laríngea/diagnóstico , Tuberculose Laríngea/tratamento farmacológico , Estudos Retrospectivos , Laringe/patologia , Prega Vocal/patologia , Laringoscopia , Neoplasias/patologiaRESUMO
No disponible
Assuntos
Humanos , Masculino , Feminino , Tuberculose/transmissão , Faringe/patologia , Sistema Respiratório , Sistema Respiratório/patologia , Sistema Respiratório/fisiopatologia , Tuberculose/epidemiologia , Tuberculose/prevenção & controleRESUMO
La pandemia tuberculosa supone un problema de salud pública para muchos países, ya sean ricos o pobres. Su localización ORL extraganglionar es poco frecuente, y en la región faríngea predomina en el cavum. En un estudio retrospectivo sobre 3 años, se intentan poner de relieve, a través de 5 casos clínicos de tuberculosis faríngea, los aspectos epidemiológicos, clínicos, radiológicos, terapéuticos y pronósticos de esta enfermedad. Sus aspectos clínicos no son específicos, y suelen prestarse a confusión con afección tumoral. El diagnóstico positivo se orienta por los datos clínicos y radiológicos y se confirma por anatomopatología (AU)
Tuberculosis is a public health problem for many countries, whether rich or poor. Extranodal ENT locations are rare, and it prevails in the cavum in the pharyngeal region. Based on a 3-year retrospective study of 5 clinical cases, the authors aim to highlight the epidemiological, clinical, radiological, therapeutic and prognostic aspects of this disease. Clinical aspects are not specific and there is often confusion in the differential diagnosis with tumoral lesions. Positive diagnosis is guided by the clinical and the radiological findings, and confirmed by histology (AU)
Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Tuberculose/epidemiologia , Tuberculose , Faringe , Diagnóstico Diferencial , Mycobacterium tuberculosis/patogenicidade , Tuberculose Resistente a Múltiplos Medicamentos , Resistência a Múltiplos Medicamentos/fisiologia , Doenças Faríngeas/complicações , Doenças Faríngeas/diagnóstico , Doenças Faríngeas , Otolaringologia/métodos , Estudos Retrospectivos , Doenças Endêmicas/prevenção & controleRESUMO
No disponible
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Cisto Dermoide/cirurgia , Epiglote/lesões , Epiglote/cirurgia , Cisto Dermoide/diagnóstico , Cisto Dermoide/tratamento farmacológico , Nasofaringe , Intubação , Transtornos de Deglutição/diagnóstico , Tomografia Computadorizada por Raios X , TraqueotomiaRESUMO
Tuberculosis is a public health problem for many countries, whether rich or poor. Extranodal ENT locations are rare, and it prevails in the cavum in the pharyngeal region. Based on a 3-year retrospective study of 5 clinical cases, the authors aim to highlight the epidemiological, clinical, radiological, therapeutic and prognostic aspects of this disease. Clinical aspects are not specific and there is often confusion in the differential diagnosis with tumoral lesions. Positive diagnosis is guided by the clinical and the radiological findings, and confirmed by histology.
