緊急気管切開術を要した喉頭真菌症の１例

• 鍋倉 隆

  宮崎県立宮崎病院耳鼻咽喉科 宮崎大学耳鼻咽喉科

• 長井 慎成

  宮崎大学耳鼻咽喉科

• 東野 哲也

  宮崎大学耳鼻咽喉科

書誌事項

タイトル別名

• A Case of Laryngeal Fungal Infection Requiring an Urgent Tracheotomy

抄録

A Case of Laryngeal Fungal Infection that required an urgent tracheotomy was reported. A 69-year-old male was referred to our hospital complaing of difficulty with breathing. A mass lesion was detected on his left false cord. Ground-glass opacity in the bilateral lower lobes showed up on a chest X-ray image. A biopsy utilizing a laryngeal fiberscope was performed. The histopathological diagnosis was revised to hyperkeratosis with a fungal infection. Therapy was initiated with polyconazole (400mg/day) for 16 days and the pulmonary mycosis disappeared completely, however, the fungal infection of the larynx remained unchanged. At day 27 after therapy with polyconazole, he had serious difficulty in breathing. Swelling of the larynx and an upper airway obstruction was found. An urgent tracheotomy was done. The patient was treated by intravenous drip of micafungin, and an almost complete remission was achieved within two months.

収録刊行物

• 喉頭

  喉頭 23 (1), 36-39, 2011

  日本喉頭科学会

キーワード

• 喉頭真菌症
• 気管切開術
• 抗真菌剤

詳細情報

• CRID: 1390282679329448832
• NII論文ID: 10030273696
• NII書誌ID: AN10200295
• DOI: 10.5426/larynx.23.36
• ISSN: 21854696
• ISSN: 09156127
• Web Site: https://search.jamas.or.jp/link/ui/2011324473
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
  • KAKEN
• 抄録ライセンスフラグ: 使用不可