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All Journal Jurnal Respirasi (JR) UMI Medical Journal Narra J jpki
Madolangan, Jamaluddin
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Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Journal : Jurnal Respirasi (JR)

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A Rare Case of Pulmonary Tuberculosis Masquerading as Laryngeal Tuberculosis or Malignant Manifestation Madolangan, Jamaluddin; Fiqran, Muhammad; Affan, Muhammad; Herman, Bumi
Jurnal Respirasi Vol. 10 No. 3 (2024): September 2024
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jr.v10-I.3.2024.243-248

Abstract

Introduction: Laryngeal tuberculosis (LTB) is usually accompanied by pulmonary tuberculosis (TB) involvement. Misdiagnosis often occurs because the symptoms are non-specific and resemble laryngeal malignancy. We reported a rare condition of pulmonary TB masquerading as larynx abnormalities such as malignant manifestations. Case: A 59-year-old man presented with a main complaint of prolonged hoarseness without clinical respiratory complaints. The patient additionally reported coughing as a symptom while receiving medical treatment in the hospital. A computed tomography (CT) scan of the neck without contrast revealed a glottic tumor invading the vocal cord – T3N2cMx. Laryngoscopy examination revealed T1-T1 tonsils. The pharyngeal mucosa was slightly hyperemic. The arytenoids and epiglottis were less hyperemic. There was no edema, the left vocal fold was paralyzed, could not be adducted, and there was a lump. The glottis rima gap was narrow, size 3–4 mm, and the mass could not be evaluated. Chest X-ray examination was normal, but rapid molecular tests of TB detected very low Mycobacterium tuberculosis (MTB) levels. The patient was treated with anti-TB treatment (ATT) according to body weight. An evaluation was performed after 2 weeks, and the patient's clinical and physical condition improved. Conclusion: Pulmonary TB patients in endemic countries can have clinical manifestations such as LTB or laryngeal malignancy in 1% of cases. The prognosis for LTB with pulmonary T involvement is quite good with ATT administration.
Co-Authors Affan, Muhammad Ahmad Fuady Alkaff, Sylmina D. Anggita, Dwi Ardiansyah, Akhmad Bustanul Arifin Djaharuddin, Irawaty Elly Wahyudin Fiqran, Muhammad Hendarto, Joko Herman, Bumi Iskandar, Harun Permatasari, Tiara Purba, Fredrick D. Putrawan, Harry Akza Ridho Akbar, Muhammad Sarifah, Latifah M. Sarwadan, Muhamad G. Sri Ramadany, Sri Tabri, Nur Ahmad Wiriansyah, Edward Pandu