en Infectious Diseases Infectious Diseases Original Article Original Article Background: Tuberculosis of the larynx is a rare form of tuberculosis. Patients usually present with hoarseness or dysphagia and other nonspecific constitutional symptoms like fever or localized pain. In this study, we present a case of primary vocal cord lesion with tuberculosis. <br>Case presentation: A 72 year old man presented with hoarseness of voice, low grade fever, and night sweating with in three month duration. Laryncoscopic study showed unilateral thickening of vocal cord and biopsy of the lesion showed granuloma with caseous necrosis. Chest x-ray was normal. The patient was treated with standard regimen of tuberculosis and was cured after 6 months of therapy. <br>Conclusion: Laryngeal tuberculosis should be considered in the differential diagnosis of patients with hoarseness without pulmonary involvement in endemic regions of tuberculosis. Tuberculosis, Primary, Vocal cord, Hoarseness 397 399 http://caspjim.com/browse.php?a_code=A-10-62-80&slc_lang=en&sid=1 Keyvan Kiakojuri 1003194753284600540 1003194753284600540 Yes Mohammad Reza Hasanjani Roushan 1003194753284600541 1003194753284600541 No