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 Jun. 23];30(2):47-9. Available from: https://pjohns.pso-hns.org/index.php/pjohns/article/view/353

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