Cardiovocal Syndrome A rare cause of hoarseness in a patient with a history of pulmonary tuberculosis
Journal Title: Sultan Qaboos University Medical Journal - Year 2017, Vol 17, Issue 4
Abstract
Hoarseness is a common clinical condition with underlying causes which can vary from reversible and benign to life-threatening and malignant. Cardiovocal syndrome may cause hoarseness secondary to left recurrent laryngeal nerve palsy when the recurrent laryngeal nerve is mechanically affected due to enlarged cardiovascular structures. We report a 28-year-old male who presented to the Government Medical College, Tiruvananthapuram, India, in 2013 with hoarseness. He had undergone irregular treatment for pulmonary tuberculosis (TB) two years previously. Fiber-optic laryngoscopy indicated left vocal cord palsy and a computed tomography scan of the chest revealed features of pulmonary hypertension with extensive enlargement of the pulmonary arteries. An echocardiogram confrmed severe pulmonary arterial hypertension with severe tricuspid regurgitation. He was diagnosed with left recurrent laryngeal palsy secondary to cardiovocal syndrome. Although reports exist of recurrent laryngeal palsy in TB, this case appears to be the frst to report cardiovocal syndrome in a patient treated for pulmonary TB.
Authors and Affiliations
Rakul Nambiar| Department of Medical Oncology, Regional Cancer Centre, Tiruvananthapuram, Kerala, India, Dae Dalus| Department of Internal Medicine, Government Medical College, Tiruvananthapuram, Kerala, India, Anjali Srikumar| Department of Anaesthesia, Sree Gokulam Medical College & Research Institute, Tiruvananthapuram, Kerala, India
Keywords
Related Articles
- EP ID EP14830
- DOI 10.18295/squmj.2017.17.04.019
- Views 341
- Downloads 17
Uremic Leontiasis Ossea.
No Abstract
Hepatoblastomas in Oman Unveiling success
Objectives: Primary malignant liver tumours account for more than 1% of all paediatric malignancies, with the most common form being hepatoblastomas (HB). Such malignancies among Arab populations have rarely been addre...
The ‘5R + R’ Rule: A simple and comprehensive method for diagnosis of actinic keratosis
Dear Editor, Actinic keratoses (AKs) or ‘solar keratoses’ are cutaneous lesions that arise on areas of the skin that are chronically exposed to ultraviolet (UV) radiation [Figure 1]. AKs are considered early manifestat...
Effect of Synthetic Tissue Fluid on Microleakage of Grey and White Mineral Trioxide Aggregate as Root-End Filling Materials An in vitro study
Objectives: Te success of endodontic surgery has been shown to depend partly on the apical seal. Grey mineral trioxide aggregate (GMTA) produces hydroxyapatite twice as often as white mineral trioxide aggregate (WMTA)...
Trichilemmal Cyst of the Penis in a Paediatric Patient
Paediatric penile cysts are uncommon. We report a fve-year-old child with an asymptomatic progressively growing cyst on the ventral aspect of the penis after a hypospadias repair. Te patient presented to the Cooper Hea...