title: Hoarse voice: a rare presentation of tuberculosis lymphadenitis.
abstract: A man aged 37 years from Indian descent presented to an inner city London hospital with hoarseness of voice, fatigue, night sweats and a 2 kg weight loss. Laryngoscopy demonstrated a left vocal fold palsy. Extensive investigations were undertaken with disseminated malignancy being primarily investigated. CT/MRI scanning showed non-specific necrotic mediastinal lymph nodes. Tuberculin skin testing, cytology and PCR were eventually undergone. Tests yielded results consistent with tuberculosis (TB) infection and the patient was started on standard TB treatment protocol, with excellent results. TB infection can result in multiple atypical presentations of disease, including hoarseness of voice secondary to vocal cord paralysis. This is a rare but important presentation for community clinician's to consider, especially in populations where TB is epidemiologically thought to be prevalent.
authors: Imperial College Healthcare NHS Trust, London, UK.|Department of Ear, Nose and Throat Surgery, Northwick Park Hospital, London, UK.
authors: Laurie Rigueros
authors: LR
authors: Springford
authors: Department of Ear, Nose and Throat Surgery, Northwick Park Hospital, London, UK.
authors: Krishan
authors: K
authors: Ramdoo
authors: Department of Ear, Nose and Throat Surgery, Northwick Park Hospital, London, UK.
authors: Dilip
authors: D
authors: Nair
authors: Imperial College Healthcare NHS Trust, London, UK.|Department of Ear, Nose and Throat Surgery, Northwick Park Hospital, London, UK.
authors: Ali
authors: A
authors: Taghi
mesh_terms: D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D006685:Hoarseness / Q000209:etiology*; D006801:Humans; D007828:Laryngoscopy; D008279:Magnetic Resonance Imaging; D008297:Male; D016133:Polymerase Chain Reaction; D014057:Tomography, X-Ray Computed; D014374:Tuberculin Test; D014388:Tuberculosis, Lymph Node / Q000175:diagnosis* / Q000188:drug therapy
chemical_list: D000995:Antitubercular Agents