��itme kayb� ile ba�vuran kaviter akci�er t�berk�lozu olgusu

Gegin, Sava�; �elik, Deniz; Dede, G�lay; Subak, Mesut

Cilt : 13 Say� : 3 Y�l : 2024

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��itme kayb� ile ba�vuran kaviter akci�er t�berk�lozu olgusu [Respir Case Rep]

Respir Case Rep. 2014; 3(3): 173-176 | DOI: 10.5505/respircase.2014.57441

��itme kayb� ile ba�vuran kaviter akci�er t�berk�lozu olgusu

Sava� Gegin¹, Deniz �elik¹, G�lay Dede², Mesut Subak³
¹Gaziosmanpa�a �niversitesi T�p Fak�ltesi G��s Hastal�klar� Ad
²Enfeksiyon Hastal�klar� Ve Klinik Mikrobiyoloji Uzman� Tatvan Devlet Hastanesi
³�zmir Dr. Suat Seren G��s Hastal�klar� Ve Cerrahisi E�itim Ve Ara�t�rma Hastanesi

T�berk�loz �zellikle geli�mekte olan �lkelerde s�k g�r�len enfeksiy�z bir hastal�kt�r. T�m sistem ve organlar� tutabilmekle beraber en s�k akci�er enfeksiyonuna neden olmaktad�r. Nadirde olsa �st solunum yolu tutulumu da g�r�lmektedir. Bu oran t�berk�lozlu olgular�n yakla��k %1,8�i kadard�r. ��itme kayb� t�berk�loz enfeksiyonunda nadir g�r�len semptomlardan biridir. Orta kulak, nazofarinks ve larinks tutulumu bu semptomla ili�kilidir. Yirmi d�rt ya��nda ses k�s�kl�� ve i�itme kayb� �ikayeti ile Kulak Burun Bo�az polikinli�ine ba�vuran olguda yap�lan nazofarinks biyopsisinde gran�lomat�z inflamasyon saptanmas� sonucu g��s hastal�klar�na refere edilmi� hastada akci�erde kaviter lezyonlar saptanm��t�r. Hastaya yap�lan ileri inceleme sonucu akci�er ve nazofarinks t�berk�lozu tan�s� konarak tedavi ba�lanm�� ve tedavi sonunda akci�er grafisinde ve i�itme kayb� ba�ta olmak �zere di�er semptomlarda belirgin yan�t izlenmi�tir. Bu yaz�da nadir bir ba�vuru semptomu olan nazofaringeal t�berk�loza ba�l� i�itme kayb� ile ba�vuran kaviter akci�er t�berk�lozu olgusu sunulmaktad�r.

Anahtar Kelimeler: Akci�er t�berk�lozu, ektrapulmoner t�berk�loz, i�itme kayb�, nazofarinks t�berk�lozu

A case of cavitary lung tuberculosis admitted with loss of hearing

Sava� Gegin¹, Deniz �elik¹, G�lay Dede², Mesut Subak³
¹GaziOsmanPasa university faculty of medicine departments of chest diseases
²Clinical Microbiology and Infection Tatvan Hospital
³�zmir Dr. Suat Seren chest diseases and surgery training and research hospital

Tuberculosis is an infectious disease that is frequently seen in developing countries. The disease has the potential to involve all systems and organs: however, it usually causes lung infection. Upper respiratory tract involvement is a rare form of the disease and occurs in approximately 1.8% of all tuberculosis cases. Hearing loss is not a common symptom in tuberculosis infections. Middle ear, nasopharynx, and larynx involvement is related to this symptom. A 24-year-old male patient was admitted to otolaryngology clinic with symptoms of hoarseness and loss of hearing. A biopsy of the nasopharynx revealed granulomatous inflammation and the patient was referred to our clinic. The chest x-ray revealed cavitary lesions. Upon further examination, the patient was diagnosed with lung and nasopharyngeal tuberculosis and treated. After the treatment, all symptoms and radiological findings significantly improved. The current cavitary lung tuberculosis case is presented due to the nature of rare symptoms, including loss of hearing caused by nasopharyngeal tuberculosis.

Keywords: Lung tuberculosis, extrapulmonary tuberculosis, loss of hearing, nasopharynx tuberculosis

Sorumlu Yazar: Sava� Gegin, T�rkiye
Makale Dili: T�rk�e

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