A Rare Case of Isolated Invasive Aspergillosis of Vocal Cord in an Immunocompromised Patient: Case Report

described aspergillosis and named it because of its resemblance to "rougher head."Bearing of asexual spores is the most important character in Aspergillus taxonomy and is recognized by circular, IntroductIonFungal laryngitis with isolated involvement of the vocal cords is a rare clinical entity with very few cases reported in the literature.Candida is the most common pathogen involved followed by Aspergillus species.The clinical presentation includes nonspecific symptoms such as hoarseness of voice, breathlessness, foreign body sensation in the throat, and sometimes dysphagia.Predisposing factors such as immunodeficiency states, laryngopharyngeal reflux disease, prolonged antibiotic ingestion, [1][2][3][4] and occupational exposure to cow dung and animal dander as in farming play a major role in the causation of fungal infections of the respiratory tract.Iatrogenic factors such as radiotherapy, chronic steroid inhalation, and laser treatment may predispose to localized fungal laryngitis.5 The common species attributed to fungal laryngitis includes Aspergillus, Candida, Histoplasma, Cryptococcus, and Blastomyces.1,4 The nonspecific presentation and mimicking of other laryngeal conditions lead to misdiagnosis and inappropriate treatment.A high index of suspicion is required for diagnosis, and prompt treatment with antifungals is crucial for alleviation of symptoms.Aspergillus is a term used to name a genus of fungi that bear asexual spores and reproduce only asexually.