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Chest, Vol 91, 482-485, Copyright © 1987 by American College of Chest Physicians

ARTICLES

Candida epiglottitis in immunocompromised patients

TJ Walsh and WC Gray

Candida seldom has been reported to be a cause of epiglottitis. The clinical manifestations and management of three patients with Candida epiglottitis complicating their neoplastic disease are described. All patients were granulocytopenic. Candida epiglottitis occurred either as a localized infection, as a source of Candida bronchopneumonia, or as a manifestation of disseminated infection. Candida epiglottitis may be under-diagnosed and should be considered, especially in immunocompromised patients with symptoms of refractory pharyngitis. Treatment of Candida epiglottitis with intravenous amphotericin B is warranted in patients with sustained granulocytopenia. Prompt endotracheal intubation is indicated if the airway patency cannot be maintained.


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Fungal Infection of the Epiglottis Simulating a Clinical Malignancy
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Copyright © 1987 by the American College of Chest Physicians.