Chronic laryngitis caused by Mycobacterium Kansasii in a traveler.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 30912581.
- Also identified by DOI 10.1002/lary.27952 and PMC identifier 8610765.
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Abstract
Chronic laryngitis commonly presents with dysphonia, and infectious causes include tuberculosis and endemic mycoses. We present a 58-year-old female with laryngitis for 5 years, fevers, chills, fatigue, malaise, myalgias, anterior neck pain, and night sweats after multicontinent exposure. Bronchoscopy cultures were negative. Bilateral microflap excision of vocal fold lesions demonstrated thickened epithelium and a deep vocal fold mass. Biopsy showed necrotizing granulomatous inflammation with acid-fast bacilli. Mycobacterium kansasii was identified. Treatment led to improvement in dysphonia, systemic symptoms, and vocal fold irritation. To our knowledge, this is the first case of isolated nontuberculous mycobacterial vocal fold infection. Laryngoscope, 129:2534-2536, 2019.
Medical subject headings
- Laryngitis
- Mycobacterium Infections, Nontuberculous
- Mycobacterium kansasii
- Travel-Related Illness