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o Issue N# 5 - 2009 o

DYSPHAGIA

Laryngeal cryptococcosis revealing an AIDS: A case report


Authors : Zeglaoui I, Belcadhi M, Mani R, Sriha B, Bouzouita K. (Sousse)

Ref. : Rev Laryngol Otol Rhinol. 2009;130,5:307-311.

Article published in french
Downloadable PDF document french



Summary : The cryptococcal infection of the larynx is uncommon. We present a case of a 65-year-old woman who was seen because of chronic hoarseness. Direct laryngoscopy revealed an infected lesion of the laryngeal vestibule. Histologic examination showed yeasts surrounding by capsules allowing a diagnosis of laryngeal infection by cryptococcus neoformans. The patient had also meningitis and pulmonary localisation. We have undergone a risk factors research and this results in finding out that HIV serology was positive. She received a treatment with amphotericin B followed by fluconazole during 6 months with complete recovery of her laryngeal infection. The patient died 11 months after the AIDS diagnostic.

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