Laryngeal involvement in disseminated coccidioidomycosis
| Autor: | Stanley W. Coulthard, Jay O. Boyle, Richard M. Mandel |
|---|---|
| Rok vydání: | 1991 |
| Předmět: |
Larynx
Adult medicine.medical_specialty Sarcoidosis Disseminated coccidioidomycosis Laryngeal Diseases medicine Humans Diagnostic Errors Mycosis Coccidioidomycosis business.industry Meninges Soft tissue General Medicine medicine.disease Surgery Airway Compromise Skull medicine.anatomical_structure Otorhinolaryngology Cervical lymph nodes Female Lymph Nodes business Tomography X-Ray Computed |
| Zdroj: | Archives of otolaryngology--headneck surgery. 117(4) |
| ISSN: | 0886-4470 |
| Popis: | • Coccidioidomycosis is a pulmonary fungal infection endemic to the desert southwest of the United States and northern Mexico. Rarely (0.5% of cases), the fungus disseminates widely, causing life-threatening complications. Seven percent of these cases will involve the head and neck. We report a case of disseminated coccidioidomycosis that involved the larynx and cervical lymph nodes in a 40-year-old white woman who presented with hoarseness and unsuspected airway compromise. Review of the 12 reported cases of laryngeal coccidioidomycosis showed a predominance of male and dark-skinned patients; seven were children, and nine presented with airway compromise. Other reported sites of head and neck involvement include the skin, mucosa, bones of the skull, and meninges, and there have been reports of abscesses of the soft tissues and fascial spaces of the neck. (Arch Otolaryngol Head Neck Surg. 1991; 117:433-438) |
| Databáze: | OpenAIRE |
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