International Journal of Phonosurgery & Laryngology

Register      Login

VOLUME 6 , ISSUE 1 ( January-June, 2016 ) > List of Articles


Tubercular Laryngitis: A Rebirth?

Rajeev Nerurkar, Shraddha Singh

Citation Information : Nerurkar R, Singh S. Tubercular Laryngitis: A Rebirth?. Int J Phonosurg Laryngol 2016; 6 (1):17-19.

DOI: 10.5005/jp-journals-10023-1113

Published Online: 01-03-2012

Copyright Statement:  Copyright © 2016; The Author(s).



The aim of this study is to highlight the changing clinical patterns of laryngeal tuberculosis (TB) and to increase the awareness of this uncommon manifestation of extrapulmonary TB which will help the clinician in early diagnosis and appropriate management of this condition.

Materials and methods

A retrospective analysis was done of 34 suspected cases of tubercular laryngitis who presented to our institution from January 2009 to December 2011. All of these patients were subjected to hematological tests, sputum microscopy, and radiological investigations.


Out of these 34 patients, hematological profile, sputum testing, and radiological profile was positive for TB in 13 patients who were started on antitubercular treatment. Out of 13, 1 patient had resolution of cough but persistent hoarseness and was diagnosed as having severe epithelial dysplasia. Twentyone patients were tested negative for TB and were diagnosed as chronic laryngitis (11), histoplasmosis (1), amyloidosis (2), sarcoidosis (1), and invasive squamous cell carcinoma (4). Primary laryngeal TB was diagnosed in two cases.


Laryngeal TB, though rare, is increasingly presenting to the otolaryngologists nowadays due to increase in the number of immunocompromised hosts and development of resistant microorganisms. It presents with nonspecific symptoms and can often be missed leading to delay in diagnosis and treatment. Starting empirical steroids without diagnosis may flare up the TB. It often mimics and occasionally may coexist with laryngeal malignancy. Thus the clinician should be vigilant and should always consider laryngeal TB as an important differential for laryngeal lesions.

How to cite this article

Nerurkar NK, Singh S, Nerurkar R. Tubercular Laryngitis: A Rebirth?. Int J Phonosurg Laryngol 2016;6(1):17-19.

PDF Share
  1. Extrapulmonary tuberculosis: management and control. In: Agarwal, SP, Chauhan LS, editors. Tuberculosis control in India. Elsevier: New Delhi (India): 2005. p. 95-114.
  2. Global tuberculosis control. Geneva, Switzerland, WHO Report 2010, WHO/CDS/TB/2010.275.
  3. Tuberculosis of the epiglottis: a case report. Eur Arch Otorhinolaryngol 2008 May;265(5):599-601.
  4. Mycobacterium marches back. J Laryngol Otol 1995 Jan;109(1):5-13.
  5. Medical and surgical aspects of the granulomatous diseases of the larynx. Otolaryngol Clin North Am. 1979 Nov;12(4):767-781.
  6. Epidemiological considerations and clinical features of ENT tuberculosis. J Laryngol Otol 2001 Jul;115(7):555-558.
  7. Laryngeal tuberculosis: a cause of stridor in children. Arch Otolaryngol Head Neck Surg 1995 Jan;121(1):109-112.
  8. Primary tuberculosis of larynx. Indian J Tuberculosis 1997 Oct;44(4):211-212.
  9. Laryngeal tuberculosis presenting as a supraglottic carcinoma: a case report and review of the literature. J Med Case Rep 2009 Nov 20;3:9288.
  10. Changing trends in clinical manifestations of laryngeal tuberculosis. Laryngoscope 2000 Nov;110(11):1950-1953.
  11. Mycobacterial infections of the head and neck. Otolaryngol Clin North Am 2003 Aug;36(4):569-576.
  12. Laryngeal tuberculosis: a report of 15 cases. Ann Otol Rhinol Laryngol 2002 Oct;111(10):916-918.
  13. CT findings of laryngeal tuberculosis: comparison to laryngeal carcinoma. J Comput Assist Tomogr 1997 Jan-Feb; 21(1):29-34.
  14. Atypical isolated epiglottic tuberculosis: a case report and a review of the literature. Am J Otolaryngol 2002 Jul-Aug;23(4):237-240.
  15. Laryngeal tuberculosis: an important diagnosis. J Laryngol Otol 2000 Nov;114(11):878-880.
  16. Laryngeal tuberculosis in HIV-infected patients: a difficult diagnosis. Laryngoscope 1996 Oct;106(10):1238-1240.
  17. Extrapulmonary tuberculosis. Indian J Med Res 2004 Oct;120(4):316-353.
  18. Current clinical propensity of laryngeal tuberculosis: review of 60 cases. Eur Arch Otorhinolaryngol 2006 Sep;263(9):838-842.
  19. Laryngeal tuberculosis. Am J Otolaryngol 2000 Mar-Apr;21(2):122-126.
  20. Effects of laryngeal tuberculosis on vocal fold functions: case report. Acta Otorhinolaryngol Ital 2005 Dec;25(6):374-377.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.