No abstract

Primary fungal epiglotitis is the isolated fungal infection of the epiglottis, without affecting the other body parts such as the larynx, lungs, pharynx, and oral cavity. It is an extremely rare clinical entity. Very few cases could be found in world literature. Pain throat and/or odynophagia are common clinical presentations. It can be secondary to inhaled steroid therapy which is usually mild.: In this article, we introduced a rare case of fungal epiglotitis in a 66 years old immunocompetent male presented with odynophagia without any other symptom or sign. In endoscopic laryngoscopy, using a 70 scope, a white lesion on swollen epiglottis was seen and rest of larynx was normal. No cervical lymphadenopathy was seen. Laryngeal area was tender on deep palpation. Patient was put on antibiotics and anti-inflammatory agents. There was no response even after 24 hers of starting treatment. Patient was put on empirically oral antifungal treatment and he improved in 6-8 hrs. Diagnosis of fungal epiglotitis was clinical, based on patient’s history, signs and sypmtoms. Signs included the inflammatory changes of the epiglotis and candida whitish discoloration of it. There was rapid and obvious improvement in condition of the patient, once started on oral antifungal treatment.

Haemangioma is a benign vascular soft tissue tumor which is compressible and nonpulsatile mass it may be non-blanching at times (as in the present case). Such benign vascular lesions frequently occur in the head and neck, approximately 80% are found in these areas. But they are very rare to be found on pinna. In our case, it was excised surgically on histolopathological examination only the diagnosis was made.

Parotid infection/abscess leading to facial nerve palsy is a rare presentation. Normally, malignant parotid masses are associated with facial nerve palsy. We present a case of parotitis which was complicated by facial nerve dysfunction and recovered well with conservative treatment.

Nasal chondroma is a rare clinical condition. Imaging and histopathological examination are combined to make the diagnosis of a nasal chondroma. Surgical excision is the treatment of chondroma. While during the course of treatment, it should be kept in mind that the condition can reoccur and occasionally transform into sarcomatous changes. Therefore, close long-term follow-up is crucial for this tumor. We describe a rare case of chondroma emerging from the nasal septum in a 60-year-old male in this paper due to the unusual occurrence of the disease.