Invasive Mucormycosis Involving the Laryngopharynx After Bone Marrow Transplantation.

Yeong Ju Lee, Yoon Se Lee

The Journal of craniofacial surgery 2022 May 01

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Invasive larynx or pharyngeal fungal infections are rare. We report an invasive fungal laryngopharyngitis patient who complained of a persistent sore throat after an allogenic bone marrow transplant and a haploidentical stem cell transplant. An antifungal gargle was used after finding necrotic changes extending from the right soft palate to the aryepiglottic fold. Biopsy and culture suggested a fungal infection with suspicious mucormycosis. imaging showed the right oropharynx, supraglottis, and the para- pharnygeal space were involved. After initiating liposomal amphotericin В for 4 days, wide excisional debridement, and a partial pharyngectomy with an anterolateral thigh free flap including the deep fascia were performed. Amphotericin B and posaconazole were used subsequently. Pathology assessment indicated invasive mucormycosis. There was no recurrence for 9 months. Mucormycosis is a fatal opportunistic infection often seen in immunocompromised patients. Rapid detection, radical resection, and reconstruction can save the patient from a life-threatening fungal infection of the laryngopharynx. Copyright © 2021 by Mutaz B. Habal, MD.

Citation

Yeong Ju Lee, Yoon Se Lee. Invasive Mucormycosis Involving the Laryngopharynx After Bone Marrow Transplantation. The Journal of craniofacial surgery. 2022 May 01;33(3):e300-e303