RESUMEN
Paracoccidioidomycosis (PCM) is a systemic granulomatous disease caused by Paracoccidioides brasiliensis or P. lutzii. It is a neglected tropical infectious disease that poses a major public health burden in endemic areas of Latin America. Mucosae of the upper digestive and respiratory tracts are commonly involved and many patients have disease at multiple mucosal sites, with or without lung involvement. Mucosal PCM presenting as solitary true vocal fold disease is relatively rare. We present the case of a 67-year-old Brazilian forest guard who presented with a 6-month history of hoarseness and globus pharyngeus due to a solitary left true vocal fold infiltration and vegetation diagnosed as PCM. Silent pulmonary disease was also present. A laryngoscopy video is offered as supplemental material to this report. He completely remitted after surgical removal and amphotericin B deoxycholate treatment.
RESUMEN
Os autores apresentam uma atualizaçäo sobre o assunto
Asunto(s)
Complicaciones Intraoperatorias , Laringectomía/efectos adversos , Laringe/cirugía , Complicaciones PosoperatoriasRESUMEN
Os autores analisam 45 casos de pacientes portadores de tumor de Warthin, diagnosticados e tratados no Servico de Cirurgia de Cabeca e Pescoco do Instituto Nacional do Cancer-RJ, no periodo de 1972 a 1989. O proposito deste trabalho foi analisar os dados referentes a cor, idade, sexo e intervalo diagnostico, correlacionando-os com o tratamento efetuado, assim como com as complicacoes advindas deste tratamento e os indices de recorrencia local. Todos os pacientes foram tratados com cirurgia exclusiva, com apenas duas variantes tecnicas: parotidectomia total e parotidectomia superficial.A parotidectomia superficial se mostrou a apcao terapeutica mais adequada para a maioria dos casos e as complicacoes advindas da cirurgia obtiveram evolucao benigna,apenas com tratamento conservador. Os indices de recorrencia local foram muito baixos, confirmando os relatos da literatura internacional.
