Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2024, Vol. 38 ›› Issue (1): 51-53.doi: 10.6040/j.issn.1673-3770.0.2022.497

• Original Article • Previous Articles     Next Articles

Laryngeal stridor as the first symptom of laryngeal tuberculosis in a child: a case report and literature review

WANG Yafang1, ZHAO Haitao2, WANG Juan1, LIU Xiaofeng1, YAN Yuyan1, WEN Xin1   

  1. 1.Department of Otorhinolaryngology, Hebei Children Hospital, Shijiazhuang 050031, Hebei, China2.Department of Anesthesiology, Hebei Children Hospital, Shijiazhuang 050031, Hebei, China
  • Published:2024-01-12

PDF (PC)

91

Abstract: Objective To investigate the clinical manifestations, distinctive morphological features under laryngoscope, and diagnostic strategies of laryngeal tuberculosis in children. Methods A retrospective analysis was conducted on the clinical data of children diagnosed with laryngeal tuberculosis, supplemented by a comprehensive review of relevant literature. Results The study revealed that laryngeal tuberculosis in children often manifests with an insidious onset. While pulmonary and systemic symptoms are not typical, laryngeal symptoms are prominent. The definitive diagnosis of laryngeal tuberculosis relies on pathological examination and Mycobacterium tuberculosis test results. Fiberoptic laryngoscopy was identified as a valuable method for early detection of laryngeal tuberculosis in children. Conclusion A comprehensive understanding of the clinical features and morphological characteristics of laryngeal tuberculosis in children is crucial to prevent delays in diagnosis. Familiarity with the distinct manifestations observed through laryngoscopy can contribute to early detection and timely management of laryngeal tuberculosis in pediatric patients.

Key words: Laryngeal tuberculosis, Children, Laryngoscope

CLC Number: 

  • R767.1
[1] 臧健, 刘茜, 姜学钧. 喉结核的临床特征和病变特点分析[J]. 中华结核和呼吸杂志, 2016, 39(8): 612-615. doi:10.3760/cma.j.issn.1001-0939.2016.08.013 ZANG Jian, LIU Qian, JIANG Xuejun. The clinical and pathological features of laryngeal tuberculosis[J]. Chinese Journal of Tuberculosis and Respiratory Diseases, 2016, 39(8): 612-615. doi:10.3760/cma.j.issn.1001-0939.2016.08.013
[2] 周涛, 屈季宁, 许昱, 等. 喉结核临床表现及喉内镜观察[J]. 中华耳鼻咽喉头颈外科杂志, 2006, 41(4): 247-250. doi: 10.3760/j.issn: 1673-0860.2006.04.003 ZHOU Tao, QU Jining, XU Yu, et al. Clinical manifestation and laryngoscopic characteristics of laryngeal tuberculosis[J]. Chinese Journal of Otorhinolaryngology Head and Neck Surgery, 2006, 41(4): 247-250. doi: 10.3760/j.issn: 1673-0860.2006.04.003
[3] 蔡超, 王隽, 段鸿飞, 等. 喉结核临床特点分析[J]. 中国耳鼻咽喉头颈外科, 2017, 24(4): 207-210. doi: 10.16066/j.1672-7002.2017.04.011 CAI Chao, WANG Jun, DUAN Hongfei, et al. Clinical analysis of laryngeal tuberculosis[J]. Chinese Archives of Otolaryngology-Head and Neck Surgery, 2017, 24(4): 207-210. doi: 10.16066/j.1672-7002.2017.04.011
[4] 韩江南, 黄定强. 喉结核的诊疗进展[J]. 西南军医, 2013, 15(4): 425-427. doi:10.3969/j.issn.1672-7193.2013.04.022. HAN Jiannan, HUANG Dingqiang.Progress in diagnosis and treatment of laryngeal tuberculosis[J]. Journal of Military Surgeon in Southwest China, 2013, 15(4): 425-427. doi:10.3969/j.issn.1672-7193.2013.04.022
[5] 白玉萍, 刘红刚. 喉结核的研究现状[J]. 国际耳鼻咽喉头颈外科杂志, 2006, 30(5): 309-312. doi: 10.3760/cma.j.issn.1673-4106.2006.05.009 BAI Yuping, LIU Honggang. Research status of laryngeal tuberculosis[J]. International Journal of Otolaryngology-Head and Neck Surgery, 2006, 30(5): 309-312. doi: 10.3760/cma.j.issn.1673-4106.2006.05.009
[1] ZHANG Yitong, LI Qingxiang, SHI Zhenghao, SHANG Lei, YUAN Yuqi, CAO Zine, MA Lina, LIU Haiqin, REN Xiaoyong, SHI Yewen. The sleep structure of Children with obstructive sleep apnea and the development of a sleep structure interpretation model [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(6): 126-132.
[2] YUAN Chenyang, FENG Chen, WANG Yan, LI Yanzhong, FANG Zhensheng. A clinical investigation of the hematological parameters related to obstructive sleep apnea in Children [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(6): 145-152.
[3] XU Hongming, FAN Wenyan, PU Shilei, LI Xiaoyan. Clinical data analysis of 36 cases of antrochoanal polyp in Children [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(6): 159-163.
[4] BI Xiaoyun, MA Benxu, WANG Xinru, LI Xuhao, YANG Jiguo. Meta-analysis of randomized controlled trials of acupoint application in treatment of children with allergic rhinitis [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(4): 75-85.
[5] NI Shoujie, ZOU Juanjuan, GUO Ruixiang, HAN Yingying, JIN Xiaoxue, LI Yanzhong, WANG Yan. Study on the diagnostic value of children's cephalometric roentgenogram measurement parameters for adenoid hypertrophy [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(2): 39-44.
[6] XU Dongjiao, TIAN Xiufen. 232 children with congenital pyriform sinus fistula treated by endoscopic radiofrequency ablation [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(2): 56-62.
[7] YI Tongying, WANG Xueni, HAN Xudong, BAI Caiying, WU Qizhen. Application effect and safety evaluation of inhalation anesthesia in children's electronic rhinopharyngeal endoscopy [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(1): 26-29.
[8] ZHANG Xiaoxue, WANG Wei, LIU Jie, XU Zhenju, QIAN Yongheng, HAN Min. The bacteriological characteristics and drug sensitivity of the oropharyngeal region in children and adults with OSAHS [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(1): 35-40.
[9] WANG Xingxin, YANG Xinyu, ZHENG Xiaojun, DING Lin, SHENG Yawen, BI Xiaoyun, YANG Jiguo. Acupoint application therapy for adenoid hypertrophy in children: a case report [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(5): 122-124.
[10] ZHANG Fengzhen, WANG Guixiang, WEI Yunyun, ZHANG Yamei, ZHAO Jing, WANG Hua, LI Hongbin, LI Xiaodan, ZHANG Jie. Perioperative management of children with mild bleeding disorders undergoing adenotonsillectomy procedures [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(4): 66-72.
[11] LU Weili, JIANG Tao, LI Xianhua. Analysis of sIgE in polysensitized children with allergic rhinitis [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(3): 260-265.
[12] HOU Bo, LIANG Chengcheng, WEI Dongmin, YONG Rong, LEI Dapeng, LI Mei. Laryngoscopy observation and voice acoustic analysis of elderly patients with benign laryngopharyngeal lesions in an ENT out-patient clinic [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(2): 20-25.
[13] YANG Yang, WANG Xiaoxu, ZHANG Jie. Progress on diagnosis and treatment of middle ear cholesteatoma in children [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(1): 1-6.
[14] GAO Xinzhong, LING Zongtong, SHEN Ling, LIU Pingfang, LIN Xin, XU Yangyang. Analysis of the efficacy of balloon eustachian tuboplasty combined with adenoidectomy in the treatment of otitis media with effusion in children [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(1): 7-12.
[15] HU Chunyan, DANG Panhong, ZHANG Rui, FAN Mengyun. Analysis of audiological and imaging characteristics of 149 children with unilateral sensorineural hearing loss [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(1): 31-36.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd