Laryngeal tuberculosis misdiagnosed as acute pharyngitis in 1 case.docVIP

 PAGE \* MERGEFORMAT 6 Laryngeal tuberculosis misdiagnosed as acute pharyngitis in 1 case [Keywords:] laryngeal tuberculosis misdiagnosed acute pharyngitis A case report Male patient, aged 53, for “a hoarse voice in March, sore throat in January” in the hospital diagnosed as acute pharyngitis treatment failure hospitalization. Past history is no special. Admission examination: vital signs normal, looking gloomy, chest and back and neck the number of stars visible spider hemorrhoids, bilateral pharyngeal tonsil grade Ⅰ congestive (++), swelling, no pus points, more than physical examination was normal. related ancillary test results are as follows: blood: WBC12.2 × 109 / L, classification no exception, ESR 28mm / 1 hour, TB IgG positive, two pairs of semi-qualitative three positive hepatitis B, no abnormal sputum culture + sensitivity, Treponema pallidum antibody negative, throat examination see: the Ministry of the epiglottis edema anterior bulge can be seen a number of mucosal surface, flushing, scattered point sheet erosion lesions. admission diagnosis: (1) laryngeal tuberculosis, (2) right upper lung Ⅲ pulmonary tuberculosis, (3) hepatitis B virus carriers. I 2HREZ / 4HR TB, “the left oxygen, Pioneer CTC V, metronidazole,” anti-infective, “mint water + gentamicin + dexamethasone” ultrasonic atomizing inhalation symptomatic and supportive treatment, half of patients the symptoms disappeared after require discharge. discharged to regular anti-TB treatment. follow-up endoscopy in patients with laryngeal epiglottis v. Department of Histopathology confirmed as “laryngeal tuberculosis.” adhere to medication, the symptoms without repeated. 2 Discussion (1) the clinical features of laryngeal tuberculosis: current laryngeal tuberculosis reported in the literature abroad, mainly through infected blood infection rather than direct infection, but the huge population base in China of tuberculosis, TB of the larynx by direct infection of the respiratory trac