HomePhilippine Journal of Otolaryngology Head and Neck Surgeryvol. 30 no. 2 (2015)

Primary Laryngeal Aspergillosis in a Postpartum Patient

Jose Carlo R. Villanueva | Alejandro P. Opulencia | Kenneth Z. Calavera | William S. Lim

Discipline: Health, Science

 

Abstract:

Objectives: 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:

Design: Case Report

Setting: Tertiary Private University Hospital

Subject: One

Results: A 28-year-old previously healthy postpartum 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.