title: Laryngeal histoplasmosis.
abstract: Histoplasma capsulatum is an endemic fungus found in moist, fertile soil; in North America, it is most prevalent in the river valleys of the central United States. Most primary infections in the immunocompetent host are asymptomatic or are thought to be a flu-like illness. Disseminated histoplasmosis most commonly occurs in immunosuppressed patients. Histoplasmosis infection involving the larynx is an extremely rare manifestation. Here, we describe the case of an immunocompetent man with symptomatic, acute pulmonary histoplasmosis with laryngeal involvement who presented with a chief complaint of hoarseness. We also review the literature of immunocompetent patients with laryngeal histoplasmosis.
authors.affiliation: Department of Internal Medicine, New York University School of Medicine, New York, New York, USA.
authors.forename: J
authors.initials: J
authors.lastname: Wolf
authors.forename: H M
authors.initials: HM
authors.lastname: Blumberg
authors.forename: M K
authors.initials: MK
authors.lastname: Leonard
mesh_terms: D000328:Adult; D006660:Histoplasmosis / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D007818:Laryngeal Diseases / Q000175:diagnosis* / Q000628:therapy; D008297:Male