CASE REPORT
Laryngeal & Lower lung field tuberculosis in pregnancy: A case report
Patil Shital 1  
,  
 
 
More details
Hide details
1
Pulmonary Medicine Department, MIMSR Medical College, Latur, Maharashtra, India
2
Department of Internal Medicine, MIMSR Medical College, Latur, Maharashtra, India
Online publish date: 2018-01-09
Publish date: 2018-01-09
 
Electron J Gen Med 2018;15(2):em06
KEYWORDS:
ABSTRACT:
Lower lung field tuberculosis (LLF TB) is atypical presentation of tuberculosis. LLF TB is missed routinely because of confusing clinical and radiological presentation and usually these cases initially treated as pneumonia. In this case report, we observed 25 year pregnant female with dysphonia and cough as presenting feature of LLF TB. Chest radiograph was showing ‘typical’ LLF TB pattern with Cavity in lower zone on right side. Sputum examination for acid fast bacilli was positive in higher grades with ‘laryngeal ulcerative lesions’ in direct laryngoscopy examination. She was treated with recommended four drug regimen and documented ‘cure’ at the end of six months. High index of suspicion is must while evaluating these cases and all possible measures to diagnose underlying tuberculosis to have successful treatment outcome.
 
REFERENCES (11):
1. WHO, Tuberculosis, WHO, 2015, http://www.who.int/mediacentre....
2. Greenberg SD, Frager D, Suster B, et al. Active pulmonary tuberculosis in patients with AIDS: Spectrum of radiographic findings (including a normal appearance). Radiology. 1994;193:115-9. https://doi.org/10.1148/radiol....
3. Segarra F, Sherman DS, Rodriguez-Aguem J. Lower lung field tuberculosis. Am Rev Resp Dis. 1963;8737-40.
4. Ossen EZ. Tuberculosis of the lower lobe. N Engl J Med. 1844;230:693-8. https://doi.org/10.1056/NEJM19....
5. Andosca JB, Foley JA. Basal tuberculosis. J Thorac Surg. 1943;12:259-66.
6. Pannar MS. Lower lung field tuberculosis. Am Rev Resp Dis. 1967;96:310-3.
7. Rothstein E. Pulmonary tuberculosis involving the lower lobes. Am Rev Tuberc. 1949;59:39-49.
8. Reisner D. Pulmonary tuberculosis of the lower lobe. Arch Int Med. 1965;56:258-80. https://doi.org/10.1001/archin....
9. Chang SC, Lee P Y, Perng RP. Lower lung field tuberculosis. Chest. 1987;91:230-2. https://doi.org/10.1378/chest.....
10. Treatment of tuberculosis: guidelines – 4th ed. World Health Organization. 2010.
11. Shital P, Nilesh N, Choudhary CR. Tuberculous Meningitis in Two-Year-Old Male Boy: Evidence of Recent Transmission from Mother to Baby. Respir Case Rep. 2017;6(1): 5-11. https://doi.org/10.5505/respir....
eISSN:2516-3507