緊急気管切開術を要した喉頭真菌症の１例

Abstract

A Case of Laryngeal Fungal Infection that required an urgent tracheotomy was reported. A 69-year-old male was referred to our hospital complaing of difficulty with breathing. A mass lesion was detected on his left false cord. Ground-glass opacity in the bilateral lower lobes showed up on a chest X-ray image. A biopsy utilizing a laryngeal fiberscope was performed. The histopathological diagnosis was revised to hyperkeratosis with a fungal infection. Therapy was initiated with polyconazole (400mg/day) for 16 days and the pulmonary mycosis disappeared completely, however, the fungal infection of the larynx remained unchanged. At day 27 after therapy with polyconazole, he had serious difficulty in breathing. Swelling of the larynx and an upper airway obstruction was found. An urgent tracheotomy was done. The patient was treated by intravenous drip of micafungin, and an almost complete remission was achieved within two months.