Laryngeal sporotrichosis causing stridor in a young child

Nissim Khabie, Thomas G. Boyce, Glenn D. Roberts, Dana M. Thompson*

*Corresponding author for this work

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

Fungal infections of the larynx are rare entities that must be considered in the differential diagnosis of the patient who presents with laryngeal symptoms. We present an unusual case of initially recurrent and then persistent stridor in a 19-month-old girl, unresponsive to 4 months of antibiotic and steroid therapy. Upon our laryngoscopic examination, the patient was noted to have an ulcerated, granulomatous process involving the larynx. She also had an erythematous papule on the left thigh. Fungal cultures of both sites grew Sporothrix schenckii. The patient was treated with systemic antifungal medications and had complete resolution of her symptoms. We discuss the pathophysiology and possible source of this unusual form of sporotrichosis, the first such case reported in a child. We emphasize the role of empiric steroid therapy in exacerbating and eventually enabling dissemination of the infection. We also review the manifestations of sporotrichosis infections of the head and neck. This case demonstrates the vital importance of careful diagnosis and proper treatment of stridor in children.

Original languageEnglish (US)
Pages (from-to)819-823
Number of pages5
JournalInternational journal of pediatric otorhinolaryngology
Volume67
Issue number7
DOIs
StatePublished - Jul 2003

Keywords

  • Fungal infection
  • Sporotrichosis
  • Stridor

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Otorhinolaryngology

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