Left vocal cord paralysis due to lymphadenopathy of mediastinal tuberculosis

Abstract

Though there are a lot of causes of vocal cord paralysis, such as trauma, cancer and surgery; idiopathic cases are also found. Vocal cord paralysis can be also seen in cases of mediastinal mass or tuberculosis which cause mediastinal lymphadenopathy. In this paper, a patient complaining of hoarseness with the diagnosis of left vocal cord paralysis was presented. Thoracic computed spiral tomography showed conglomerated mediastinal lymphadenopathy and biopsy was reported as granulomatous inflammation. Antituberculostatic therapy was administered to the patient and his follow-up procedures are continuing currently.

Keywords

• Vocal cord paralysis, tuberculosis, conglomerated mediastinal lymphadenopathy

Mediastinal tüberküloz lenfadenopatisine bağlı sol vokal kord paralizisi

Öz

Vokal kord paralizisinin travma, kanser ve cerrahi gibi sebepleri bulunmakla birlikte, idiyopatik vakalar da bulunmaktadır. Mediastinal kitle veya tüberküloz gibi mediastende lenfadenopatiye sebep olan durumlarda da vokal kord paralizi görülebilmektedir. Bu yazıda, ses kısıklığı şikâyeti ile başvuran ve sol vokal kord paralizisi tespit edilen bir vaka sunulmuştur. Hastada çekilen toraks bilgisayarlı tomografisinde (spiral) mediastende tespit edilen konglomere lenfadenopatiden alınan biyopsi sonucu, kazeifiye granülomatöz inflamasyon olarak rapor edilmiştir. Hastaya tüberküloz düşünülerek antitüberküloz tedavi başlanmıştır ve takipleri devam etmektedir.

Anahtar Kelimeler

• Vokal kord paralizisi, tüberküloz, mediastende konglomere lenfadenopati

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10. This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported (CC BY
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13. Please cite this article as: Dikici O, Bayar Muluk N. Left vocal cord paralysis due to lymphadenopathy of mediastinal tuberculosis. J Med Updates 2013; 3(2):98-100.