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Passive Administration of Monoclonal Antibodies Against H. capsulatum and Others Fungal Pathogens
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Laryngeal histoplasmosis.

M K Masud1, S M Ahmad, F Ferdouse

  • 1Dr Mostafa Kamal Masud, Registrar (ENT), Mymensingh Medical College Hospital, Mymensingh, Bangladesh.

Mymensingh Medical Journal : MMJ
|September 3, 2014
PubMed
Summary
This summary is machine-generated.

Histoplasmosis, a fungal infection, rarely affects the larynx in immunocompetent individuals. This case highlights its potential to mimic tuberculosis or cancer, emphasizing the need for accurate diagnosis.

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Area of Science:

  • Mycology
  • Infectious Diseases
  • Otolaryngology

Background:

  • Histoplasma capsulatum is an endemic fungus causing granulomatous disease.
  • Laryngeal involvement is an uncommon manifestation, particularly in immunocompetent patients.

Observation:

  • A 60-year-old farmer presented with voice changes and cough, initially suspected as laryngeal tuberculosis or neoplasm.
  • Laryngoscopy revealed vocal cord edema, erythema, and leukoplakia.
  • Histopathology confirmed intracellular Histoplasma capsulatum hyphae.

Findings:

  • The patient was diagnosed with laryngeal histoplasmosis.
  • Treatment led to patient improvement.

Implications:

  • Laryngeal histoplasmosis can mimic laryngeal tuberculosis and squamous cell carcinoma.
  • Accurate diagnosis requires a high index of suspicion and thorough histological examination.
  • Misdiagnosis can lead to inappropriate treatment for tuberculosis or laryngeal cancer.