Fungal Laryngitis in Immunocompetent Individuals: Not so Uncommon

Abstract

Fungal laryngitis (FL) in immunocompetent individuals has been described as a rare entity. Management of 11 cases of suspected isolated FL in immunocompetent patients is discussed. Fungal laryngitis was suspected if white smooth plaques with surrounding inflammation were seen on the larynx. Suspected patients were given 200 mg OD oral fluconazole for 3 to 4 weeks. In those who showed no improvement at 2 weeks, complete excision of the lesion was performed (five patients). Eight patients gave history of having received a course of oral steroids, one of inhaled steroids. The average erythrocyte sedimentation rate (ESR) of the patients was 42.