Laryngeal tubercolosis: A case report with focus on voice assessment and review of the literature
Open accessAbstract
Laryngeal tuberculosis (LTB) is a rare manifestation of tuberculosis (TB), accounting for 1% of all TB cases. Despite its rarity it is the most frequent laryngeal granulomatous disease. We performed a systematic literature review of the last 20 years on LTB and also present a case from our hospital with special focus on voice assessment. The literature review includes a total of 308 cases, involving studies from seven countries. In all, 64.3% of patients were males. At the time of diagnosis, the mean age range was 44.6-56.5 years. Odynophagia, hoarseness and dysphonia were the most frequent presenting symptoms. In 64 cases, the initial suspicion was laryngeal cancer. Most cases involved the true vocal folds. In about a third of cases a primary LTB with normal chest radiographic was found. Although it can be treated successfully, LTB may cause significant changes in voice quality. Nowadays, LTB is rarely diagnosed and may be confused with laryngeal cancer, it should also be included in the differential diagnosis with all other chronic benign inflammatory and non-inflammatory diseases of the larynx.
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Various studies found dysphonia as the most common symptom, followed by dyspnea and odynophagia.
“Various studies found dysphonia as the most common symptom, followed by dyspnea and odynophagia [37,48].”
From Head and Neck Tuberculosis: A Rare Diagnosis and the Role of Surgical Biopsy and Histopathological Evaluation in Extrapulmonary Disease (2025) · cites this paper as [48]
The Results (Literature review) give a different ranking: odynophagia or pharyngodynia was reported in 174 of 308 cases, compared with dysphonia in 125. They describe shortness of breath or dyspnoea (35 of 308) as an occasional presenting symptom, not the second most common. (LLM, conf=0.90)
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Mogoantă, C. A., Osman, A., Georgescu, A.-M., Mitroi, A. M., Busuioc, C. I., Tănase, I., Cioboată, R., Liliac, I. M., Cimpeanu, O. L., & Ciolofan, M. S. (2025) · Pathogens · doi:10.3390/pathogens14050479 · Cited by 2 · see citing works
- Authors
- Migliorelli, A., Mazzocco, T., Bonsembiante, A., Bugada, D., Fantini, M., Elli, F., & Stacchini, M.
- Affiliations
- University of Ferrara (IT)
- Ospedale Koelliker (IT)
- University of Insubria (IT)
- Ospedale “M. Bufalini” di Cesena (IT)
- Corresponding author
- Migliorelli, Andrea
- Venue
- Acta Otorhinolaryngologica Italica
- Publisher
- Pacini Editore
- Published
- 2022-10
- Volume
- 42
- Issue
- 5
- Pages
- 407-414
- ISSN
- 0392-100X (ISSN-L)
- 1827-675X
- PMC
- PMC9793137
- OpenAlex
- W4312093688
- Cited by
- 11
- References
- 31
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 2 · 2023: 5
- FWCI
- 2.39
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by-nc-nd
- Locations
- Acta Otorhinolaryngologica Italica (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Institutional Research Information System University of Ferrara (University of Ferrara) (submittedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Diagnosis and treatment of tuberculosis
- Health Sciences › Medicine › Physiology › Voice and Speech Disorders
- Health Sciences › Medicine › Infectious Diseases › Tuberculosis Research and Epidemiology
- Keywords
- laryngeal tuberculosis, voice assessment, hoarseness, dysphonia, odynophagia, true vocal fold, laryngeal tuberculosis treatment
- MeSH terms
- Humans, Larynx, Dysphonia
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