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Chronic laryngitis caused by Mycobacterium Kansasii in a traveler
Author(s) -
Lehman Bethany,
Procop Gary W.,
Silva Merea Valeria,
Harrington Susan M.,
Mawhorter Steven D.,
Benninger Michael S.
Publication year - 2019
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.27952
Subject(s) - medicine , laryngitis , dermatology , chronic cough , chills , productive cough , larynx , mycobacterium kansasii , biopsy , malaise , pathology , tuberculosis , surgery , mycobacterium tuberculosis , immunology , asthma , lung
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