Hairy vocal cords and hemoptysis Kıllı vokal kord ve hemoptizi
Tuberkuloz ve Toraks, cilt.73, sa.1, ss.77-79, 2025 (ESCI, Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 73 Sayı: 1
- Basım Tarihi: 2025
- Doi Numarası: 10.5578/tt.202501992
- Dergi Adı: Tuberkuloz ve Toraks
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, Central & Eastern European Academic Source (CEEAS), EMBASE, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.77-79
- Anahtar Kelimeler: Complication, hair, hemoptysis, larynx cancer
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
A 71-year-old patient with hemoptysis, history of pulmonary tuberculosis, laryngeal cancer, and smoking habit underwent fiberoptic bronchoscopy. No endobronchial lesions were detected, but hair structures were seen on the vocal cords. Klebsiella oxytoca was grown in the non-specific culture of the lavage. Filamentous bacteria suggestive of actinomyces were also seen in the cytology. These bacteria, seen in the normal flora of the oropharynx, may be responsible for lung infection in individuals with weakened immune systems and concomitant diseases. In elderly patients with a history of pulmonary tuberculosis and cancer, as in our patient, hairs developing on the vocal cords as a complication of laryngeal surgery may cause food residues and secretions to accumulate on the hair surface and increase microaspirations. We would like to remind you that these microaspirations may affect the lower respiratory tract defense mechanisms and lead to clinical problems such as lung infection, lung abscess, aspiration pneumonia and hemoptysis in people with comorbid diseases.