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
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- EP ID EP14830
- DOI 10.18295/squmj.2017.17.04.019
- Views 344
- Downloads 17
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