喉頭カンジダ症を合併した難治性声門狭窄症例

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タイトル別名
  • A Case Report on Intractable Glottic Stenosis with Laryngeal Candidiasis
  • コウトウ カンジダショウ オ ガッペイ シタ ナンチセイ セイモン キョウサク ショウレイ

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説明

Fungal infections are known to be associated with immunocompromised patients. However, localized fungal infection of the larynx is extremely uncommon. We describe a case of glottic stenosis due to laryngeal candidiasis that occurred in a 56-year-old male patient with acute myelogenous leukemia and diabetes. Biopsy of the lesion enabled a diagnosis of laryngeal candidiasis and ruled out malignancies, tubeculosis and other diseases. Instillation and inhalant of antifungal agents managed to decrease the fungus mass but not improve the glottic stenosis. The patient’s glottic stenosis was intractable due to repeated proliferation of guranulation tissue or postoperative adhesion in the vocal cords in spite of three operations. The uncontrolled clinical course would suggest that acute myelogneous leukemia and diabetes cause delayed union in postoperative wounds.<br>

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