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Ann Thorac Surg 1990;50:987-988
© 1990 The Society of Thoracic Surgeons

Articles

Left recurrent laryngeal nerve paralysis: An unusual presentation of histoplasmosis

Eric H. Gilbert, MD, Kevin D. Murray, MD*, Joel Lucas, MD, E.Paul Howanitz, MD, Timothy A. Galbraith, MD, Antonios E. Chryssos, MD, P.David Myerowitz, MD

Division of Cardiothoracic Surgery, The Ohio State University, Columbus, Ohio USA

Accepted for publication May 25, 1990.

* Address reprint requests to Dr Murray, Division of Thoracic and Cardiovascular Surgery, Ohio State University, N820 Doan Hall, 410 West 10th Ave, Columbus, OH 43210.

A case of histoplasmosis seen as left recurrent laryngeal nerve paralysis in a 49-year-old man is described. The patient had roentgenographic findings of a solitary, noncalcified left upper lobe mass and mediastinal adenopathy. Tissue diagnosis of histoplasmosis was obtained using a thoracotomy, allowing institution of appropriate treatment.




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