Candida Epiglottitis in Immunocompromised Patients
Abstract
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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Data for laryngitis are based on small series and individual case reports.
“Data for laryngitis are based on small series and individual case reports [177, 178].”
From Guidelines for Treatment of Candidiasis (2004) · cites this paper as [177]
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- Authors
- Walsh, T. J., & Gray, W. C.
- Affiliations
- Johns Hopkins University (US)
- Corresponding author
- Walsh, Thomas J.
- ORCID
- Walsh, Thomas J.
- Venue
- Chest
- Publisher
- Elsevier BV
- Published
- 1987-04
- Volume
- 91
- Issue
- 4
- Pages
- 482-485
- ISSN
- 0012-3692 (ISSN-L)
- OpenAlex
- W2047121666
- Cited by
- 71
- References
- 21
- Citations by year
- 2025: 1 · 2024: 2 · 2022: 3 · 2020: 1 · 2018: 3 · 2017: 2 · 2016: 1 · 2015: 1 · 2014: 1 · 2012: 1
- FWCI
- 2.91
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- CHEST Journal (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Infectious Diseases › Antifungal resistance and susceptibility
- Health Sciences › Medicine › Infectious Diseases › Otolaryngology and Infectious Diseases
- Health Sciences › Medicine › Oncology › Neutropenia and Cancer Infections
- Keywords
- candidiasis, immunocompromised patients, granulocytopenia, cancer, systemic candidiasis, amphotericin B, endotracheal intubation, airway management
- MeSH terms
- Adult, Agranulocytosis, Amphotericin B, Candidiasis, Child, Preschool, Epiglottitis, Female, Humans, Immunologic Deficiency Syndromes, Intubation, Intratracheal, Laryngitis, Laryngoscopy, Male, Middle Aged
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