Histoplasmosis of the larynx.

Autor: Pochini Sobrinho F; M.S student in Otolaryngology, MD. Assistant Physician of the Otolaryngology Service Hospital Nossa Senhora de Lourdes. Electronic address: fernandopochini@uol.com.br., Della Negra M; PhD. Professor, Head of the 2nd inpatient unit of the Emílio Ribas Infectology Institute., Queiroz W; M.S. in Infectology. Assistant Physician - 2nd inpatient unit of the Emílio Ribas Infectology Institute., José Ribeiro U; Otolaryngologist, Head of the Otolaryngology Service - Hospital Nossa Senhora de Lourdes., Bittencourt S; Otolaryngologist, Head of the Otolaryngology Service - Hospital Nossa Senhora de Lourdes., Burlamaqui Klautau G; M.S. in Health Sciences. Assistant Physician - 2nd inpatient unit of the Emílio Ribas Infectology Institute.
Jazyk: angličtina
Zdroj: Brazilian journal of otorhinolaryngology [Braz J Otorhinolaryngol] 2007 Nov-Dec; Vol. 73 (6), pp. 857-861.
DOI: 10.1016/S1808-8694(15)31187-3
Abstrakt: The incidence of laryngeal histoplasmosis is low when compared to the total number of cases. Less than 100 cases of laryngeal histoplasmosis have been described in the medical literature. Isolated laryngeal involvement may lead to the misdiagnosis and mistreatment of tuberculosis or laryngeal cancer, according to some reports. The development of hoarseness in a patient with histoplasmosis or a laryngeal mass leading to hoarseness, might be suggestive of laryngeal histoplasmosis. When histoplasmosis is included among the differential diagnoses of a laryngeal lesion, the biopsy should be limited to a small tissue fragment, enough to perform histological tests. The laboratory technicians must be warned about the possibility of histoplasmosis, because special dyes have to be used to confirm this diagnosis.
Databáze: MEDLINE