Laryngeal Tuberculosis in a Young Female: A Case Report

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  • Yanagiya Ryoko
    Department of Otolaryngology, Suita Municipal Hospital Department of Otolaryngology, Head and Neck Surgery, Tokai University, School of Medicine
  • Sakai Akihiro
    Department of Otolaryngology, Head and Neck Surgery, Tokai University, School of Medicine
  • Iijima Hiroaki
    Department of Otolaryngology, Head and Neck Surgery, Tokai University, School of Medicine
  • Nishiyama Koichiro
    Department of Otolaryngology, Head and Neck Surgery, Tokai University, School of Medicine Nishiyama ENT Clinic
  • Ebisumoto Koji
    Department of Otolaryngology, Head and Neck Surgery, Tokai University, School of Medicine
  • Yamauchi Mayu
    Department of Otolaryngology, Head and Neck Surgery, Tokai University, School of Medicine
  • Ashida Hiroshi
    Department of Otolaryngology, Head and Neck Surgery, Tokai University, School of Medicine
  • Okami Kenji
    Department of Otolaryngology, Head and Neck Surgery, Tokai University, School of Medicine

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Other Title
  • 若年女性に発生した喉頭結核の1例
  • ジャクネン ジョセイ ニ ハッセイ シタ コウトウ ケッカク ノ 1レイ

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<p>The incidence of tuberculosis (TB) in Japan has decreased annually. However, early diagnosis is important because many laryngeal TB cases are complicated by pulmonary TB. We present the case of a young woman who visited our hospital with the chief complaint of hoarseness. Initially, she was suspected to have laryngeal granuloma but was later diagnosed with laryngeal tuberculosis based on the course of her illness. The patient was a 21-year-old female. She was referred to our department after conservative treatment for left vocal fold inflammation that did not improve. The patient had no history of smoking or voice abuse. At the initial visit, hoarseness, edema of the left vocal cord, mucosal irregularity, and prominent lesions were observed. Conservative treatment was initiated on suspicion of laryngeal granuloma, but the patient did not improve; therefore, the decision was made to perform a biopsy under general anesthesia. Preoperative examination revealed a constrictive disorder, and chest radiography and computed tomography revealed findings suggestive of pulmonary tuberculosis. Sputum examination was positive for the LAMP method, and a diagnosis of pulmonary TB was made. The patient was admitted to a specialized facility for inpatient treatment, and after six months of treatment, the laryngeal findings improved. It is important to consider laryngeal TB as a differential diagnosis at an early stage in cases of atypical laryngeal findings that are inconsistent with the patient's age and life history.</p>

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