McCune M A, Rogers R S, Roberts G D
Int J Dermatol. 1980 Jun;19(5):263-9. doi: 10.1111/j.1365-4362.1980.tb00327.x.
Systemic blastomycosis may rarely involve the larynx, and it most likely is a result of hematogenous dissemination or direct inoculation from a currently or previously active pulmonary infection. Often, laryngeal blastomycosis has been confused with squamous cell carcinoma because of the clinical and histopathologic similarities, and this confusion has led to inaccurate diagnosis and inappropriate therapy. The etiologic agent, Blastomyces dermatiditis, may be seen in infected tissue with routine and special stains; however, cultural proof remains the sine qua non for diagnosis.
系统性芽生菌病很少累及喉部，很可能是血行播散或因当前或既往活动性肺部感染直接接种所致。由于临床和组织病理学表现相似，喉芽生菌病常被误诊为鳞状细胞癌，这种混淆导致了诊断不准确和治疗不当。在感染组织中，通过常规和特殊染色可能见到病原体皮炎芽生菌；然而，培养证据仍然是确诊的必要条件。
