Primary Laryngeal Aspergillosis in a Postpartum Patient

Authors

  • Jose Carlo R. Villanueva Department of Otorhinolaryngology – Head and Neck Surgery University of the East – Ramon Magsaysay Memorial Medical Center, Inc.
  • Alejandro P. Opulencia Department of Otorhinolaryngology – Head and Neck Surgery University of the East – Ramon Magsaysay Memorial Medical Center, Inc.
  • Kenneth Z. Calavera Department of Otorhinolaryngology – Head and Neck Surgery University of the East – Ramon Magsaysay Memorial Medical Center, Inc.
  • William L. Lim Department of Otorhinolaryngology – Head and Neck Surgery University of the East – Ramon Magsaysay Memorial Medical Center, Inc.

DOI:

https://doi.org/10.32412/pjohns.v30i2.353

Keywords:

Aspergillosis, hoarseness, larynx, postpartum, immunosupression

Abstract

Objective:  To present a rare case of primary laryngeal aspergillosis manifesting with hoarseness in a seemingly healthy, immunocompetent, postpartum patient and discuss the probable contributing factors leading to this unusual disease process.

Methods:

Study Design: Case Report

Setting: Tertiary Private University Hospital

Subjects:  One (1)

Results: A 28-year-old previously healthy post-partum woman presented with hoarseness of a few weeks duration and recent intake of antibiotics and steroids. Videolaryngoscopy revealed a creamy, exophytic mass overlying both vocal folds. Microscopic examination revealed septated, dichotomously branching hyphae with acute angles characteristic of Aspergillus sp. The patient recovered with anti fungal medications.

Conclusion: The clinical presentation of laryngeal aspergillosis can be very non-specific and should not be disregarded merely on the basis of immune competence. It should be considered, together with other host and environmental factors when a patient responds poorly to conventional treatment. There is a need for quick and accurate diagnosis as the disease responds quite rapidly with appropriate anti fungal medications.

 

Keywords: Aspergillosis, hoarseness, larynx, postpartum, immunosupression

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Published

2015-12-02

How to Cite

1.
Villanueva JCR, Opulencia AP, Calavera KZ, Lim WL. Primary Laryngeal Aspergillosis in a Postpartum Patient. Philipp J Otolaryngol Head Neck Surg [Internet]. 2015 Dec. 2 [cited 2024 Nov. 18];30(2):47-9. Available from: https://pjohns.pso-hns.org/index.php/pjohns/article/view/353

Issue

Vol. 30 No. 2 (2015): Philippine Journal of Otolaryngology-Head and Neck Surgery

Section

Case Reports

License

Copyright transfer (all authors; where the work is not protected by a copyright act e.g. US federal employment at the time of manuscript preparation, and there is no copyright of which ownership can be transferred, a separate statement is hereby submitted by each concerned author). In consideration of the action taken by the Philippine Journal of Otolaryngology Head and Neck Surgery in reviewing and editing this manuscript, I hereby assign, transfer and convey all rights, title and interest in the work, including copyright ownership, to the Philippine Society of Otolaryngology Head and Neck Surgery, Inc. (PSOHNS) in the event that this work is published by the PSOHNS. In making this assignment of ownership, I understand that all accepted manuscripts become the permanent property of the PSOHNS and may not be published elsewhere without written permission from the PSOHNS unless shared under the terms of a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) license.

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