[Laryngeal cryptococcosis revealing AIDS: a case report].
The cryptococcal infection of the larynx is uncommon. We present a case of a 65-year-old woman who was seen because of chronic hoarseness. Direct laryngoscopy revealed an infected lesion of the laryngeal vestibule. Histologic examination showed yeasts surrounding by capsules allowing a diagnosis of laryngeal infection by cryptococcus neoformans. The patient had also meningitis and pulmonary localisation. We have undergone a risk factors research and this results in finding out that HIV serology was positive. She received a treatment with amphotericin B followed by fluconazole during 6 months with complete recovery of her laryngeal infection. The patient died 11 months after the AIDS diagnostic.
Zeglaoui
I
I
CHU Farhat Hached, Service ORL, 4000 Sousse, Tunsie. izeglaoui@yahoo.fr
Belcadhi
M
M
Mani
R
R
Sriha
B
B
Bouzouita
K
K
D017088:AIDS-Related Opportunistic Infections / Q000175:diagnosis* / Q000382:microbiology; D000163:Acquired Immunodeficiency Syndrome / Q000175:diagnosis*; D000368:Aged; D003453:Cryptococcosis / Q000175:diagnosis*; D005260:Female; D006801:Humans; D007818:Laryngeal Diseases / Q000175:diagnosis / Q000382:microbiology*