Laryngeal paracoccidioidomycosis presenting as solitary true vocal fold disease

Paracoccidioidomycosis (PCM) is a systemic granulomatous disease caused by Paracoccidioides brasiliensis or P. lutzii. It is a neglected tropical infectious disease that poses a major public health burden in endemic areas of Latin America. Mucosae of the upper digestive and respiratory tracts are co...

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Veröffentlicht in:IDCases 2017-01, Vol.10, p.71-74
Hauptverfasser: Eyer-Silva, Walter de Araujo, Santana, Annelise Callmann, Silva, Guilherme Almeida Rosa da, Azevedo, Marcelo Costa Velho Mendes de, Barreto, Juliana Li Ting Matos Sun, Neumann, Marina Apolloni, Castro, Izana Junqueira de, Basílio-de-Oliveira, Rodrigo Panno, Araujo, Luciana Ferreira de, Ré, Nathane Zanineli, Oliveira, Felipe Marques de, Simas, Caio José de Araujo, Sarvat, Marcos André de, Ferry, Fernando Raphael de Almeida
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container_start_page 71
container_title IDCases
container_volume 10
creator Eyer-Silva, Walter de Araujo
Santana, Annelise Callmann
Silva, Guilherme Almeida Rosa da
Azevedo, Marcelo Costa Velho Mendes de
Barreto, Juliana Li Ting Matos Sun
Neumann, Marina Apolloni
Castro, Izana Junqueira de
Basílio-de-Oliveira, Rodrigo Panno
Araujo, Luciana Ferreira de
Ré, Nathane Zanineli
Oliveira, Felipe Marques de
Simas, Caio José de Araujo
Sarvat, Marcos André de
Ferry, Fernando Raphael de Almeida
description Paracoccidioidomycosis (PCM) is a systemic granulomatous disease caused by Paracoccidioides brasiliensis or P. lutzii. It is a neglected tropical infectious disease that poses a major public health burden in endemic areas of Latin America. Mucosae of the upper digestive and respiratory tracts are commonly involved and many patients have disease at multiple mucosal sites, with or without lung involvement. Mucosal PCM presenting as solitary true vocal fold disease is relatively rare. We present the case of a 67-year-old Brazilian forest guard who presented with a 6-month history of hoarseness and globus pharyngeus due to a solitary left true vocal fold infiltration and vegetation diagnosed as PCM. Silent pulmonary disease was also present. A laryngoscopy video is offered as supplemental material to this report. He completely remitted after surgical removal and amphotericin B deoxycholate treatment.
doi_str_mv 10.1016/j.idcr.2017.09.003
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subjects Case Report
Laryngeal
Paracoccidioidomycosis
South American blastomycosis
Vocal cord
Vocal fold
title Laryngeal paracoccidioidomycosis presenting as solitary true vocal fold disease
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