title: Laryngeal tuberculosis without pulmonary involvement.
abstract: BACKGROUND
  Tuberculosis of the larynx is a rare form of tuberculosis. Patients usually present with hoarseness or dysphagia and other nonspecific constitutional symptoms like fever or localized pain. In this study, we present a case of primary vocal cord lesion with tuberculosis.
  
  
  METHODS
  A 72 year old man presented with hoarseness of voice, low grade fever, and night sweating with in three month duration. Laryncoscopic study showed unilateral thickening of vocal cord and biopsy of the lesion showed granuloma with caseous necrosis. Chest x-ray was normal. The patient was treated with standard regimen of tuberculosis and was cured after 6 months of therapy.
  
  
  CONCLUSIONS
  Laryngeal tuberculosis should be considered in the differential diagnosis of patients with hoarseness without pulmonary involvement in endemic regions of tuberculosis.
authors.affiliation: Department of Otolaryngology, Ayatollah Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran.
authors.forename: Keyvan
authors.initials: K
authors.lastname: Kiakojuri
authors.affiliation: Infectious Diseases and Tropical Medicine Research Center, Babol University of Medical Sciences, Babol, Iran.
authors.forename: Mohammad Reza
authors.initials: MR
authors.lastname: Hasanjani Roushan
keywords: Hoarseness.; Primary; Tuberculosis; Vocal cord