Tuberculous lymphadenitis with anthracosis: an unusual cause of unilateral vocal cord paralysis

  • Sadaqat Ali Aga Khan University Hospital (AKUH)
  • Hina Inam Aga Khan University Hospital (AKUH)
  • Zainab Abbasi Liaquat University of Medical and Health Sciences, Jamshoro
  • Sulaiman Bashir Hassan Aga Khan University Hospital (AKUH)
Keywords: Tuberculous Lymphadenopathy, Vocal Cord Paralysis, Antituberculous Treatment

Abstract

Background: Tuberculous lymphadenopathy is an extremely common condition in developing countries; however, vocal cord paralysis secondary to compression by enlarged tuberculous lymph node is an extremely rare presentation.

Case Presentation: In this paper, we present the case of a 72-year-old male patient who came to us with concerns of hoarseness of voice for the last eight months with fever and chills. He had been treated previously at ear, nose and throat (ENT) clinics and on evaluation, we discovered he had left vocal cord paralysis. Imaging showed multiple enlarged mediastinal and right hilar lymph nodes.

Management & Results: Mediastinoscopy with biopsy was done and after histopathologic confirmation of tuberculosis, the patient was prescribed antituberculous treatment.

Conclusion: Antituberculous treatment in such patients shows signs of clinical and radiologic improvement.

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References

1. Dikici O, Muluk NB. Left vocal cord paralysis due to lymphadenopathy of mediastinal tuberculosis. J Med Updates. 2013;3(2):98-100.
2. Meral M, Akgun M, Kaynar H, Mirici A, Gorguner M, Saglam L, Erdogan F. Mediastinal lymphadenopathy due to mycobacterial infection. Jpn J Infect Dis. 2004;57(3):124- 126.
3. Bloomberg TJ, Dow CJ. Contemporary mediastinal tuberculosis. Thorax. 1980;35(5):392-396.
4. Fowler RW, Hetzel MR. Tuberculous mediastinal lymphadenopathy can cause left vocal cord paralysis. Br Med J (Clin Res Ed). 1983;286(6377):1562.
5. Song SW, Jun BC, Cho KJ, Lee S, Kim YJ, Park SH. CT evaluation of vocal cord paralysis due to thoracic diseases: A 10-year retrospective study. Yonsei Med J. 2011;52(5):831–837
Published
2019-06-01
How to Cite
Ali, S., Inam, H., Abbasi, Z., & Hassan, S. (2019). Tuberculous lymphadenitis with anthracosis: an unusual cause of unilateral vocal cord paralysis. International Journal of Endorsing Health Science Research (IJEHSR), 7(2), 108-112. https://doi.org/10.29052/IJEHSR.v7.i2.2019.108-112