{Reference Type}: Case Reports
{Title}: Vocal fold cryptococcal granuloma: A rare occurrence in immunocompetent patient.
{Author}: Zainal Abidin MR;Syed Hamzah Al-Yahya SN;Mansor M;Abdul Rahim N;
{Journal}: Int J Surg Case Rep
{Volume}: 115
{Issue}: 0
{Year}: 2024 Feb 9
暂无{DOI}: 10.1016/j.ijscr.2024.109228
{Abstract}: <B>UNASSIGNED: </B>Cryptoccous infection or cryptococcosis is a severe opportunistic infection occurring mainly in immunocompromised patients. Laryngeal cryptococcus infection is rare. In an immunocompetent patient, inhaled corticosteroid was reported to be a possible risk factor.<BR><B>METHODS: </B>We discuss a case of right vocal fold cryptococcus infection in a healthy, immunocompetent 71-year-old man with no history of inhaled corticosteroid, presented with hoarseness and intermittent aspiration symptom for 1 year duration. Further examination showed right anterior vocal fold mass with presence of right vallecular cyst.<BR><B>UNASSIGNED: </B>Patient underwent direct laryngoscopy, excision of right vocal fold mass and marsupialization of vallecular cyst. Histopathological examination revealed cryptococcal infection. Patient subsequently treated with oral fluconazole 400 mg daily for 6 months. To date, hoarseness and aspiration symptoms have resolved.<BR><B>CONCLUSIONS: </B>We are sharing our experience in managing laryngeal cryptococcus infection in an immunocompetent patient where the associated risk factors discussed in previous literatures are absent.