Laryngeal tuberculosis called one of the most serious infectious diseases of the upper respiratory tract excited by tubercle bacillus. Often, this disease is a complication of an existing patient of pulmonary tuberculosis. Patients with laryngeal tuberculosis pose a serious threat, as a source of infection.
pathology Features
In tuberculous process oropharynx affected only 2% of cases. Hematogenous infection or lymphogenic penetrates through directly from the lesion. Sometimes the infection occurs as a result of exposure to the larynx sputum in pulmonary tuberculosis.
Tuberculosis throat tends to be one-sided. And the lesion is localized by the damaged lung, because the pathogen is in the larynx through the bloodstream from the lung tissue from the same side.
Causes of
The source of infection - the patient, releasing mycobacteria (sputum, urine, wound, etc.). A favorable factors for the development of tuberculosis of the throat are:
- the weakening of immunity;
- immunodeficiency (primary or secondary);
- HIV;
- addictions (alcohol, smoking);
- professional harm (work in a tobacco factory, a cement plant, oil / reprocessing pr-ve, etc.);
- chronic diseases of the larynx, pharynx (laryngitis, laryngotracheitis, pharyngitis).
symptoms
In the initial stage laryngeal tuberculosis characteristic for the disease symptoms may be absent altogether. Later, the patient has low-grade fever, fatigue. The progress of the disease entails have local symptoms: difficulty breathing, pain when swallowing, blueness of the lips and nasolabial triangle, the nose and fingertips.
At the next stage of the disease affects the vocal cords - thicken and shorten. the patient's voice changed to a raucous, hoarse. There is a "barking" cough. Breathing quickens, and the whole "complex" drew its causes swelling - epiglottic folds. Also epiglottis to deformation. After which the cavity of the larynx narrows significantly, and, in this regard, there are respiratory disorders, as well as a dry cough.
Further, patients have permanent foreign body sensation in the throat. The person can not swallow food, water and even saliva. He refuses to eat and lose weight. Voice changes are growing - up to complete aphonia (absence of voice). Severe pain may radiate to the ear, teeth, collarbone and neck. The result of tuberculous lesions become purulent disintegration of the surrounding tissues, formed fistulas. Possible bleeding from the throat, pus. There is a growing pain, and the pain is not relieved by conventional medicines. Patients prescribed drugs even painkillers.
Thus it is possible to make a very definite conclusion: ask for help, hoping for a favorable outcome in the recovery issue, as early as possible. So should listen to the slightest changes in his own body and adequately respond to them.
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