[Epilaryngeal tuberculosis: epidemiologic, clinical and healthcare considerations].
OBJECTIVE
To report a case of laryngeal tuberculosis and to consider tuberculosis management in ENT practice.


METHODS
A 44-year-old man, a smoker with pulmonary sarcoidosis experienced dysphonia with dysphagia. Laryngeal fibroscopy revealed an ulcerated epiglottic lesion. Direct laryngoscopy was performed to detect carcinoma, laryngeal sarcoidosis or tuberculosis. The histologic study revealed granulomatosis with giant cells and caseous necrosis. Tissue culture identified Mycobacterium tuberculosis.


RESULTS
Antituberculosis therapy decreased dysphonia and dysphagia. Isolated ulceration disappeared at three months. Pulmonary infiltration decreased in radiography. The discovery of this case of laryngeal tuberculosis instigated hospital and community tuberculosis surveillance.


CONCLUSIONS
The ENT specialist should be aware of laryngeal tuberculosis in suspicious lesions. Mandatory declaration of such cases can motivate setting up tuberculosis surveillance.
Service d'oto-rhino-laryngologie et chirurgie cervicofaciale, hôpital Gabriel-Montpied, CHU de Clermont-Ferrand, université Clermont-1, rue Montalembert, 63000 Clermont-Ferrand, France.
N
N
Saroul
J-F
JF
Vellin
O
O
Baud
O
O
Nohra
J-L
JL
Kemeny
L
L
Gilain
D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D006801:Humans; D007828:Laryngoscopy; D008279:Magnetic Resonance Imaging; D008297:Male; D009164:Mycobacterium Infections / Q000150:complications / Q000188:drug therapy / Q000473:pathology*; D009169:Mycobacterium tuberculosis; D017565:Sarcoidosis, Pulmonary / Q000150:complications; D014387:Tuberculosis, Laryngeal / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology*
D000995:Antitubercular Agents