Clinical case of destructive pulmonary tuberculosis combined with laryngeal tuberculosis

Timely detection of tuberculosis among the population, both pulmonary and, especially, extrapulmonary, is a priority task of domestic and foreign health care. Often, extrapulmonary forms of tuberculosis mask various other pathologies. For example, laryngeal tuberculosis may be masked as a malignant neoplasm or occur as a nonspecific lesion. The purpose of the article is to attract the attention of medical specialists to the problem of diagnosing tuberculosis on the example of a clinical case of a patient with combined pulmonary and laryngeal tuberculosis. In accordance with the obtained clinical, laboratory and instrumental data, we concluded that when patients are admitted to a non-specialized medical organization with complaints from the larynx (dysphonia, aphonia) or oropharyngeal organs (dysphagia), complete diagnostic minimum is required including chest X-ray, complete blood count, otolaryngology consultation and microbiological monitoring (sputum microscopy) for the purpose of integrated examination of the patient and further routing to antituberculous institution. An example is given of successful treatment of a patient with a combination of pulmonary and extrapulmonary tuberculosis (laryngeal tuberculosis) identified due to the presence of symptoms in the larynx.