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Cryptococcal Laryngitis: A Case Report

新型隱球菌性咽喉炎:一病例報告及文獻回顧

摘要


新型隱球菌性咽喉炎,相當的罕見-目前僅有七例病例報告。新型隱球菌的感染程度,由沒有症狀至全身性感染皆可見,特別在免疫不全的病人身上。我們將報告一位83歲男性,長期使用類固醇控制慢性阻塞性肺疾病,他因為喉嚨痛及吞嚥困難約14天,至門診求助,住院後因呼吸窘迫及上呼吸道阻塞,需接受氣切來維持呼吸道暢通,在接受積極照護及Fluconazole治療後,症狀有明顯改善。

並列摘要


Infections caused by Cryptococcus neoformans range from those in an asymptomatic state to systemic disease, especially in immunocompromised hosts. Laryngeal cryptococcal infections are extremely rare-only 7 cases have been reported in the literature. We present a case of cryptococcal laryngitis in an 83-year-old male with chronic obstructive pulmonary disease (COPD) and long-term corticosteroid use. The patient was admitted with a 14-day history of dysphagia, hoarseness, respiratory distress, and upper airway obstruction that necessitated tracheostomy. After intensive respiratory care and fluconazole treatment, his symptoms improved.

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