Stridor, malaise, and visual loss in a woman from Sierra Leone

Abstract

An 81 year old man presented with an asymptomatic swelling of his left upper limb. The patient's past medical history included angina, hypertension, and a stroke (five years previously) which left him with mild dysphasia, but no other deficit. There was no past medical or family history of thrombosis. There was a two day history of swelling. The arm was not painful, hot or red, and there was no history of trauma. Apart from pain in the left side of his neck, which had been present for three weeks, the patient was well. System King's Mill Centre,

Airway emergency in tuberculosis

“…11 Lower down the respiratory tract, lymphadenopathy at the level of the carina or bronchi may present as intermittent stridor or wheeze most commonly in infancy. 12 Bronchial stenosis as a delayed consequence of endobronchial infection has been identified as a cause of stridor in adults.…”

“…[4][5][6][7][8][9][10][11][12][13][14][15] In this-previously unreported-instance, clinical signs of upper airway obstruction occurred acutely in apparently localised pulmonary disease. Various explanations may be considered.…”

“…Upper airway compromise may occur through a variety of mechanisms, including, in this instance, in association with 5 Respiratory obstruction Laryngeal tuberculosis [7][8][9][10] Stridor Difffuse tuberculous tracheitis 6 Stridor or wheeze Endobronchial tuberculosis G bronchial stenosis 13 Stridor or wheeze Para-tracheal/mediastinal adenopathy 11,12 Stridor or wheeze localised pulmonary disease. Co-existent HIV infection may underly stridor, through central nervous system or local airway involvement.…”

“…Despite the resurgence of the disease in the U.K., recent medical literature contains only few case reports and small case series reporting TB associated-stridor. [4][5][6][7][8][9][10][11][12][13][14][15] In all of these, stridor is reported exclusively in the context of …”

Retinal and Choroidal Manifestations of Tuberculosis

“…Treatment consists of standard antitubercular therapy along with appropriate surgery. Other reported presentation includes patients who have developed a fi stula in an orbital abscess, fungating masses [ 23 ] or lesions surrounding the optic nerve [ 24,25 ] . The hallmark "cold abscess"-i.e., an infective mass lesion but without the pain, redness, or warmth of an acute bacterial abscessmay be seen in some patients.…”