Pediatric Laryngeal Tuberculosis: A Case Report

兒童喉結核：個例報告

蕭輔國(Fu-Kuo Hsiao) ； 曹龍彥(Lon-Yen Tsao)

《The Changhua Journal of Medicine》 8卷1期 (2003/01) Pp. 60-64

摘要

喉結核在兒童甚少發生。文獻上僅有少數病例被報導。喉結核通常發生於合併有嚴重肺結核之中年男性病人。本文報導一個四歲女性以發燒，聲音沙啞，喘嗚一星期來表現喉結核的病人。軟式纖維喉鏡護現會厭水腫且聲帶上有潰瘍。頸部電腦斷層發現位於下咽部，聲帶，聲門下部有一段約三公分長的對稱性狹窄。胸部X光片有左上肺葉的鈣化點。痰液培養出結核桿菌。病人開始服用抗結核菌藥物後，發燒，聲音沙啞，喘鳴情形逐漸改善。經過十二個月的藥物治療後，病人至今沒有任何症狀。

關鍵字

喉 ； 喉結核 ； 喉鏡

並列摘要

Laryngeal tuberculosis (TB) is a rare disease in children. Only a few cases have been reported. Laryngeal TB is often described in middle-aged men, usually those with concurrent advanced pulmonary disease. We describe a case of laryngeal TB in a 4-year-old girl who presented with cough, hoarseness, and stridor for 1 week. Flexible fiberoptic laryngoscopy revealed edema over the epiglottis and ulceration over the vocal cords. Laryngeal TB was highly suspected. A computed tomographic scan of neck showed symmetrical and uniform narrowing of the hypopharynx, vocal cords, and subglottic region of the airway. Radiography of the chest revealed calcification over the left upper lobe of the lung. Cultures of sputum specimens were positive for Mycobacterium tuberculosis. Anti-TB therapy was instituted, and the patient's fever, hoarseness, stridor gradually improved. The patient received anti-TB therapy for 12 months and remained asymptomatic.

並列關鍵字

larynx ； laryngeal tuberculosis ； laryngoscopy