LAUSR

To the Editor, Children constitute up to one fifth of the tuberculosis (TB) caseload in high incidence countries and account for 8% to 20% of TB‐related deaths. Extrapulmonary tuberculosis comprises 21% to 44% of pediatric cases, although a significant number of complicated cases have both pulmonary and extrapulmonary involvement. Tuberculosis of the larynx is rare and not often considered as a cause of laryngeal involvement in children. In the early part of the 20th century, the larynx was thought to be involved in 25% of all cases of TB, but this number has decreased to 1% following the introduction of TB treatment. Mycobacterium tuberculosis affects the posterior and the glottic larynx, probably due to direct spread of infected sputum. Only adult cases of TB involving the epiglottis have been described. Tuberculosis presenting as acute epiglottitis has not been described in children.