Primary fungal laryngitis mimicking recurrent laryngeal carcinoma.

BMJ Case Rep

Department of Otorhinolaryngology, National University of Malaysia Faculty of Medicine, Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur, Malaysia

Published: February 2022

A 79-year-old smoker with a background history of a treated glottic carcinoma and chronic obstructive pulmonary disease presented with progressive hoarseness, symptoms of aspiration and shortness of breath for 6 months. Examination revealed an ulcero-fungating mass over the posterior commissure of the larynx. A tracheostomy, direct laryngoscopy and biopsy of the mass was performed to secure his airway and to exclude recurrent glottic carcinoma. Reassuringly, a histopathological examination of the mass revealed numerous fungal yeast bodies. He was then treated with itraconazole for 4 weeks and was followed up as and outpatient with complete resolution and no recurrence of the disease.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8830107PMC
http://dx.doi.org/10.1136/bcr-2021-245678DOI Listing

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