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喉隐球菌病:一种引起声音嘶哑的罕见病因的临床表现和治疗。

Laryngeal cryptococcosis: Clinical presentation and treatment of a rare cause of hoarseness.

机构信息

Department of Otorhinolaryngology-Head and Neck Surgery, St. Vincent's Hospital, Sydney, New South Wales, Australia.

出版信息

Otolaryngol Head Neck Surg. 2010 Mar;142(3 Suppl 1):S7-9. doi: 10.1016/j.otohns.2009.08.030. Epub 2009 Nov 25.

Abstract

OBJECTIVE

Laryngeal cryptococcosis is rare, with few reported cases in the literature. We present current investigation and treatment recommendations for this disease.

STUDY DESIGN

A structured literature review; additional cases and expert opinion are presented.

RESULTS

Localized laryngeal cryptococcal infection most commonly presents with persisting hoarseness. Clinical suspicion of the disease is required for accurate diagnosis, with treatment based on the patient's immune status. Early microbiological advice and adequate follow-up is recommended to ensure disease resolution.

CONCLUSION

Isolated laryngeal cryptococcosis is a rare presentation of fungal infection. It is easily treated and should be considered in the differential diagnosis of patients with persisting hoarseness.

摘要

目的

喉隐球菌病罕见,文献报道病例较少。我们提出了目前对该病的调查和治疗建议。

研究设计

结构化文献综述;另外还介绍了病例和专家意见。

结果

局部喉隐球菌感染最常表现为持续性声音嘶哑。准确诊断需要临床怀疑该病,治疗基于患者的免疫状态。建议早期进行微生物学咨询和充分随访,以确保疾病痊愈。

结论

孤立性喉隐球菌病是真菌感染的罕见表现。该病易于治疗,应在持续性声音嘶哑患者的鉴别诊断中考虑。

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