A Case of Primary Tuberculous Laryngitis in New York City. Issue 2 (March 2018)

• Record Type: Journal Article
• Authors: Osiro, Stephen; Shaik, Fatima; Salomon, Nadim
• Is Part Of: Infectious diseases in clinical practice. Volume 26:Issue 2(2018:Mar.)
• Publication Date: 2018-03
• Subjects: dysphonia -- laryngitis -- misdiagnosis -- primary -- tuberculous; Communicable diseases -- Periodicals; Communicable Diseases -- Periodicals; Communicable diseases; Periodicals; Periodicals; Electronic journals; 616.9
• DOI: 10.1097/IPC.0000000000000535
• Languages: English
• ISSNs: 1056-9103

Abstract

Abstract : Abstract: Tuberculous laryngitis occurs in less than 1% of all tuberculosis cases. Patients usually present with dysphonia, but the insidious nature of the disease and the broad differential diagnoses often lead to missed or delayed diagnosis. In the United States, it is rare and regrettably requires several patient visits before the correct diagnosis is made. We report a case of primary tuberculous laryngitis from our hospital, which was successfully diagnosed and treated, but after a delay of more than 2 months. We emphasize that in patients presenting with prolonged dysphonia physicians must maintain a high index of suspicion, obtain a thorough epidemiologic history, and liaise with pathologists in order to correctly diagnose this disease. Abstract : Tuberculous laryngitis is rare in the United States and is often misdiagnosed by many physicians. It requires a high index of clinical suspicion, which was the main reason the authors were able to diagnose and treat a patient in New York City after prior attempts at a correct diagnosis had failed for more than two months.