ANSWER: Chronic cough and laryngitis

(Refer to page 256)Answer: Tuberculosis laryngitis with active pulmonary tuberculosis (PTB)There was consolidation at the left apical region, hilar lymphadenopathy and pleural effusion in the chest radiograph and positive sputum acid fast bacilli in all three specimens which confirmed the diagnosis of TB laryngitis with active PTB. The patient was treated with the standard regime (Streptomycin 0.75mgOD, isoniazid 300mg OD, rifampicin 600mg OD, pyrazinamide 1500mg OD, pyridoxine 10mg OD). Upon completion of treatment, he showed improvement of voice.