A case of laryngeal aspergillosis following radiation therapy.
Primary laryngeal aspergillosis is extremely rare. It is commonly seen as a part of a systemic infection involving the respiratory system in an immunocompromised host. Differential diagnosis is important, as the clinical symptoms are similar to those of malignant laryngeal disease. We describe a 73-year-old man with a history of hoarseness. He had a history of radiotherapy for laryngeal squamous cell carcinoma and had a history of diabetes. Direct laryngoscope and biopsy confirmed the diagnosis of aspergillus. We cauterized the lesion with a CO(2) laser. In the present case, irradiation seemed to have played a more important role in the onset of this disease rather than diabetes.
Ogawa
Yasuo
Y
Department of Otorhinolaryngology, Hachiouji Medical Center of Tokyo Medical University, 1163 Tate Hachiouji-shi, Tokyo 193-0944, Japan. yogawa21@hotmail.com
Nishiyama
Nobuhiro
N
Hagiwara
Akira
A
Ami
Takahisa
T
Fujita
Hiroyuki
H
Yoshida
Tomoyuki
T
Suzuki
Mamoru
M
D000368:Aged; D001228:Aspergillosis / Q000175:diagnosis / Q000382:microbiology*; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000532:radiotherapy* / Q000601:surgery; D006801:Humans; D007822:Laryngeal Neoplasms / Q000473:pathology / Q000532:radiotherapy* / Q000601:surgery; D007830:Larynx / Q000382:microbiology* / Q000528:radiation effects*; D053685:Laser Therapy; D008297:Male; D011183:Postoperative Complications; D011878:Radiotherapy / Q000009:adverse effects*