---

Isolated fungal epiglottitis: A rare presentation

---

Case Report

Author Details : Harjitpal Singh*, Disha Sharma, Manisha Mahajan, Amit Saini, Trilok Chand Guleria, Bharti Ranot, Ravinder Kaur

Volume : 5, Issue : 3, Year : 2022

Article Page : 87-90

https://doi.org/10.18231/j.ijoas.2022.022

Suggest article by email

Get Permission

---

Abstract

Introduction: Primary fungal epiglotitis is the isolated fungal infection of the epiglottis, without affecting the other body parts such as the larynx, lungs, pharynx, and oral cavity. It is an extremely rare clinical entity. Very few cases could be found in world literature. Pain throat and/or odynophagia are common clinical presentations. It can be secondary to inhaled steroid therapy which is usually mild.
Case Presentation: In this article, we introduced a rare case of fungal epiglotitis in a 66 years old immunocompetent male presented with odynophagia without any other symptom or sign. In endoscopic laryngoscopy, using a 70 scope, a white lesion on swollen epiglottis was seen and rest of larynx was normal. No cervical lymphadenopathy was seen. Laryngeal area was tender on deep palpation. Patient was put on antibiotics and anti-inflammatory agents. There was no response even after 24 hers of starting treatment. Patient was put on empirically oral antifungal treatment and he improved in 6-8 hrs.
Conclusion: Diagnosis of fungal epiglotitis was clinical, based on patient’s history, signs and sypmtoms. Signs included the inflammatory changes of the epiglotis and candida whitish discoloration of it. There was rapid and obvious improvement in condition of the patient, once started on oral antifungal treatment.

Keywords: Candidiasis, Fungal epiglottitis, Odynophagia

How to cite : Singh H, Sharma D, Mahajan M, Saini A, Guleria T C, Ranot B, Kaur R, Isolated fungal epiglottitis: A rare presentation. J Otorhinolaryngol Allied Sci 2022;5(3):87-90

This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.