[Simultaneous pulmonar, laryngeal and lingual affectation by Mycobacterium tuberculosis].

J A Díaz Manzano, J L Castillo Romero, M J Padilla Romero, J J Sánchez Laínez, C Castillo Aguilar, M F Cegarra Navarro
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Abstract

The incidence of tuberculosis has lately increased in developed countries. The most frequent affectation is the pulmonar one and in the ORL area the laryngeal. The lingual affectation is exceptional. We present a case of a man 39 years old, with bilateral pulmonar, left vocal cord and mobile tongue affectation, negative Mantoux, positive spit culture and presence of acido-alcohol resistent bacillus in lingual and laryngeal biopsies. After antituberculosis treatment during 6 months the laryngeal and lingual lesions disappeared. We have only found two cases published of simultaneous tuberculosis in these three localisations in the last 30 years.

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[结核分枝杆菌并发肺、喉、舌病变]。
结核病的发病率最近在发达国家有所增加。最常见的是肺动脉瓣,在ORL区是喉瓣。语言的矫揉造作是例外的。我们报告一个39岁的男性病例,双侧肺动脉,左声带和舌部活动畸形,曼图阴性,唾液培养阳性,舌部和喉部活检中存在抗酸酒精杆菌。经抗结核治疗6个月后,喉部和舌部病变消失。在过去的30年里,我们在这三个地区只发现了两例同时发生结核病的病例。
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