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The case of the creeping crypt.

Author

Frederick Y. Hawson,
Gil M. Vicente

Related Institution

Department of Otorhinolaryngology - St. Luke's Medical Center

Publication Information

Publication Type
Journal
Publication Sub Type
Case report
Title
Philippine Journal of Otolaryngology Head and Neck Surgery
Frequency
Annual
Publication Date
1996

Abstract

This is a case report involving a 49 year old female with a chief complaint of right lateral neck mass with a history of chronic non-productive cough and exposure to pigeon droppings. Flexible endoscopy revealed masses in the nasopharynx and the right trachea-bronchial junction. CT scan showed a right pre-and para-vertebral loculated cystic mass extending from the nasopharynx to the oropharynx biopsy of which revealed Cryptococcal infection. This unusual feature is made the more significant in that it occurred in a non-immuno compromised patient and lends more concrete evidence as to the lymphatic spread of cryptococcal infection.

This is probably the first case of cryptococcosis with such unusual manifestations in both local and international literature. Awareness of this should help in the early recognition and management of the disease.

References

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9. Paparella, MM , Shumrick, DL . Otolaryngology. Philadelphia: WB Saunders Company, 1993. (Vol. 1)
10. Reese , MC , Colclasure, JB . "Cryptococcosis of the larynx" Archives of Otolaryngology 101, 698-701, 1975. Retrieved from: http://ukpmc.ac.uk/abstract/MED/1200914
11. Smallman, LA , et al., . "Cryptococcosis of the larynx" Journal of Laryngology and Otology 103, 214-215, 1989. Retrieved from: http://ukpmc.ac.uk/abstract/MED/1200914
12. Tenholder, MF , et al., . "Complex cryptococcal empyema" Chest 101(2): 586-588, 1992. Retrieved from: http://journal.publications.chestnet.org/article.aspx?articleid=1064658

Physical Location

LocationLocation CodeAvailable FormatAvailability
Philippine Council for Health Research and Development Library Box No. 64 Fulltext Print Format
Philippine Society of Otolaryngology-Head and Neck Surgery Abstract Print Format

 
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