喉頭アスペルギルス症例

Abstract

Mycosis localized in the larynx is relatively rarely observed, and only a small number of cases have been reported. We encountered a 69-year-old male with laryngeal mycosis due to Aspergillus. He visited our department due to hoarseness/abnormal laryngeal sensation. At the first consultation, electronic laryngoscopy showed a white lesion anterior to the membranous portions of the bilateral vocal folds. Based on the results of biopsy, a diagnosis of laryngeal aspergillosis was made. He was treated with the oral administration of an antifungal drug on an outpatient basis, and showed a tendency toward improvement, however, the fungus partly remained, and additional resection was performed using a laser by laryngo-microsurgery. He has since remained under follow-up observation.