Laryngeal and miliary tuberculosis a rare combination

Abstract

Background: Both laryngeal tuberculosis and miliary tuberculosis are rare disease in adults. The combination of laryngeal and miliary tuberculosis is equally rare.
Aim: This case is reported so as to raise awareness of this rare clinical combination of laryngeal tuberculosis and miliary tuberculosis in our tuberculous patients and also to highlight the management.
Case Report: A 40-year old long distance driver presented with hoarseness and stridor. Histopathological study of the laryngeal tissue obtained at biopsy showed evidence of laryngeal tuberculosis. Management include antituberculosis chemotherapy and surgical intervention. The chest radiograph revealed miliary shadows (seed-like lesions) in both lung fields.
Conclusion: Laryngeal tuberculosis requires a high index of suspicion for diagnosis. The management involves a multidisciplinary approach involving the physician, surgeon and the histopathologist.


Keywords: Laryngeal tuberculosis, Miliary tuberculosis

PHMJ Vol. 2 (2) 2008: pp. 171-173