Primary laryngeal aspergillosis due to Aspergillus flavus in an elderly immunocompetent patient- a rare presentation
Journal Title: Annals of Geriatric Education and Medical Sciences - Year 2017, Vol 4, Issue 2
Abstract
Primary Laryngeal aspergillosis in an immunocompetent patient is rare and very few cases have been reported. Laryngeal aspergillosis due to secondary invasion from tracheobronchial tree is usually seen in an immunocompromised host. We report a case of a 65 year female who presented with 4 months history of breathlessness, hoarseness of voice and cough. She had ischaemic heart disease, hypertension, for which she was taking aspirin. She was known case of bronchial asthma on inhalational steroids. Video-laryngoscopy revealed greenish black debris in subglottic area, without any mucosal changes. Diagnosis of Aspergillus flavus was confirmed on culture. Ig E and absolute eosinophil count was within normal limits. Patient was started on oral itraconazole and has responded to treatment. Possibility of Primary fungal infection of larynx should be kept in mind, in elderly patients on inhalational steroids, without any known risk factors for immunocompromised states.
Authors and Affiliations
Sanika Kalambe, Shraddha Jain, Gargi Mudey, Sagar Gaurkar, Sunil Kumar
Keywords
Related Articles
- EP ID EP295682
- DOI -
- Views 72
- Downloads 0
Paroxysmal dyskinesia presenting feature of hyperthyroidism in an elderly: A case report
Paroxysmal dyskinesia PD as a first manifestation of hyperthyroidism is an extremely rare entity We here report a case pf 65yearold female presented with the features of PD whose investigations revealed hyperthyroidism H...
An unusual complication of enteric fever: Myocarditis
Enteric fever(typhoid Fever) occurs worldwide, primarily in developing nations whose sanitary conditions are poor. Enteric fever is endemic in Asia, Africa, Latin America. The carribean, and Oceania but 80% of cases come...
Esthetic orthodontic appliances – A review
Patients seek orthodontic treatment to improve their smile and facial appearance Traditional brackets and wire used to align teeth are very much noticeable when patients smile laugh or talk This can make patients feel se...
A clinical and echocardiographic study in elderly hypertensive patients
Introduction Isolated systolic hypertension is the commonest cause of raised blood pressure in the older population As the age progresses more and more persons will be hypertensive It is a disease which is definitely the...
Syndrome of inappropriate secretion of antidiuretic hormone (SIADH) induced by squamous cell carcinoma of larynx: A case report
Syndrome of inappropriate antidiuretic hormone secretion SIADH is one of the most frequent paraneoplastic syndrome associated with hyponatremia in patients with tumours The most common malignancy associated with SIADH is...