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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.


   Abstract
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 Abstract
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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.


   References
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 Abstract
 References
 

  1. Davies SF. An overview of pulmonary fungal infections Clin Chest Med 1987;8:495-512.[Medline]
  2. Goodwin RA, DesPrez RM. Histoplasmosis Am Rev Respir Dis 1978;117:929-956.[Medline]
  3. Bennett DE. Histoplasmosis of the oral cavity and larynx: a clinicopathology study Arch Intern Med 1967;120:417-427.[Medline]
  4. Prager RL, Burney DP, Waterhouse G, Bender Jr HW. Pulmonary, mediastinal, and cardiac presentations of histoplasmo sis Ann Thorac Surg 1980;30:385-390.[Abstract/Free Full Text]
  5. Dines DE, Payne WS, Bernatz PE, Pairolero PC. Mediastinal granuloma and fibrosing mediastinitis Chest 1979;75:320-324.[Medline]
  6. Loyd JE, Tillman BF, Atkinson JB, DesPrez RM. Mediastinal fibrosis complicating histoplasmosis Medicine 1988;67:295-310.[Medline]
  7. Goodwin RA, Snell JD. The enlarging histoplasmoma Am Rev Respir Dis 1960;100:1-12.
  8. Baum GL, Green RA, Schwartz J. Enlarging pulmonary histoplasmoma Am Rev Respir Dis 1960;82:721-772.[Medline]



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This Article
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