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Case Report
 
Primary laryngeal tuberculosis mimicking supraglottic carcinoma
Manigreeva Krishnatreya1, Kishore Das2, Anupam Sharma3, Jagannath D Sharma4
1MBBS, DLO, Senior Research fellow, Dept of ENT and Head & Neck Surgery, Dr. B Borooah Cancer Institute, Guwahati, Assam, India.
2MBBS, MS, Assistant Professor, Dept of ENT and Head & Neck Surgery, Dr. B Borooah Cancer Institute, Guwahati, Assam, India.
3MBBS, MD, Assistant Professor, Dept of Pathology, Dr. B Borooah Cancer Institute, Guwahati, Assam, India.
4MBBS, MD, Professor, Dept of Pathology, Dr. B Borooah Cancer Institute, Guwahati, Assam, India.

doi:10.5348/ijcri-2013-07-330-4

Address correspondence to:
Dr. Manigreeva Krishnatreya
Room no 32, OPD Block
Dr. B Borooah Cancer Institute,
Assam
India 781016
Phone: (+91)9954480612
Email: mani_greeva@yahoo.co.in

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How to cite this article:
Krishnatreya M, Das K, Sharma A, Sharma JD. Primary laryngeal tuberculosis mimicking supraglottic carcinoma. International Journal of Case Reports and Images 2013;4(7):354–357.


Abstract
Introduction: Primary laryngeal tuberculosis is an extremely rare form of tuberculosis and very few have been reported in literature.
Case Report: We describe a case of a 35-year-old female who presented with symptoms and sign of a supraglottic carcinoma. The patient presented with progressive hoarseness of two month’s duration. Direct fiberoptic laryngoscopy showed a polypoidal growth involving the supraglottic larynx. Tissue sections from the growth showed epithelioid granuloma with Langhans giant cells. Ziehl–Neelsen staining on the tissue section showed the presence of scanty acid-fast bacilli. No primary foci of tuberculosis were detected anywhere else in the body by clinical, radiological and examination of acid-fast bacilli in the bronchioalveolar lavage fluid.
Conclusion: Awareness of existence of isolated primary laryngeal tuberculosis is important especially in endemic areas. In case of diagnosis of laryngeal tuberculosis all effort should be made to look for an active or inactive lesion elsewhere in the body before diagnosing as primary laryngeal tuberculosis.

Keywords: Carcinoma, Extra pulmonary tuberculosis, Primary laryngeal tuberculosis


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Author Contributions
Manigreeva Krishnatreya – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Kishore Das – Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published
Anupam Sharma – Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published
Jagannath D Sharma – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© Manigreeva Krishnatreya et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)