ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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ORIGINAL RESEARCH ARTICLES |
Features Of Patients With Laryngeal Tuberculosis
Dr. Nazire UÇARa,Dr. Bülent ÇİFTÇİa,Dr. Haluk C. ÇALIŞIRb,Dr. Tansu ULUKAVAK ÇİFTÇİc,Dr. Mihriban ÖĞRETENSOYa
aGöğüs Hastalıkları Kliniği,Atatürk Göğüs Hastalıkları ve Göğüs Cerrahisi Eğitim ve Araştırma Hastanesi, Ankara bSüreyyapaşa Göğüs Hastalıkları ve Göğüs Cerrahisi Eğitim ve Araştırma Hastanesi, İstanbulcGöğüs Hastalıkları AD, Gazi Üniversitesi Tıp Fakültesi, Ankara
Objective: The aim of this study was to evaluate the clinical and radiological properties of patients with pulmonary and laryngeal tuberculosis (tbc) who were followed in our hospital. Material and Methods: Fifteen patients with laryngeal tbc were detected among 6229 patients who had been treated for pulmonary tbc in our hospital. They were retrospectively analyzed. Results: Fourteen patients were male and one patient was female. The mean age was 39.4 ± 7.6 (24-51). All were smokers with an average of 28.9 (1-80) pack-years. Four patients had a family history of tbc. In addition to pulmonary symptoms, 14 (93.33%) had hoarseness, 10 (66.6%) had dysphagia, 2 (13.3%) had odynophagia and 1 patient (6.66%) had laryngeal stridor. Mean duration of hoarseness was 86.6 + 54.9 days. Chest x-ray revealed 12 (80%) bilateral disseminated infiltrations, 5 (33.3%) cavitary lesions and 3 (20%) unilateral infiltrations. All patients (1 female, 14 males) had positive smears (category I). Thirteen patients had been examined with laryngoscope and tissue samples had been obtained from nodular lesions in 7 patients with the suspicion of larynx malignancy. Larynx tbc was diagnosed with biopsy in 10 patients and with clinical and laryngoscopic features in 5 patients. Thirteen patients were treated with isoniasid (H), rifampicin (R), morfazinamide (Z) and ethambutol (E) and two patients were treated with H,R,Z and streptomycin (S). Conclusion: Tbc of the larynx should be considered in the differential diagnosis of patients with hoarseness of long duration or nodular laryngeal lesions.Keywords: Tuberculosis, laryngeal; lungTurkiye Klinikleri J Med Sci 2008, 28:473-477
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