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Revista Habanera de Ciencias Médicas
versión On-line ISSN 1729-519X
Resumen
ALCALA VILLALON, Tahamara; VALDES QUINTANA, Magalis; PORTALES PEREZ, Ramón y LOPEZ SOTO, María Victoria. Tuberculosis in pharyn and larynx: case presentation. Rev haban cienc méd [online]. 2010, vol.9, n.4, pp. 545-552. ISSN 1729-519X.
Tuberculosis is a chronic bacterial disease caused by Mycobacterium tuberculosis, declared by WHO in 1993 as epidemilogical emergency warning, affecting mostly the lungs but it can also damage others organs (Extra lung Tb) such as the larynxbeing the most frequent granulomatous disease as this level and it considered as a rare location (less than 1%), that is why we are so interested in presenting this case report of larynx and pharynx disease, with the aspiration to highlight how few are the cases with this location, the diagnostic problems and the importance of a histopathologic analysis. 49 years, female patient came to the consultation because of odenaphagia. A pharyngeal tumour was diagnosed and a biopsy was undergone which revealed pharyngeal Sarcoidosis. The patient did not come back to the consultation until several months later due to diphonia. A tumour in the larynx is visualized and a biopsy is undergone again which shoved to the positive for laryngeal cancer; the patient refuses to be treated. Four months later the patient is admitted to the hospital in the Neumology hospital with a clinical picture of dyspnea, cough and dysphonic. The diagnosis was pulmonary tuberculosis. A consult is carried out which the otorrhynolaringologyst and a new consideration came out, concluding by pathological anatomy as tuberculosis. Taking into account the clinical picture and the anatomopathological firdings that do not corresponded inther with Sarcoidosis or Epidermoide carcinoma previously reported. The characteristics of this case led to this presentation.
Palabras clave : Tuberculosis (disease) faryngitis; granulomatous; laryngitis..