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July 11, 1977

Laryngeal Coccidioidomycosis

JAMA. 1977;238(2):129. doi:10.1001/jama.1977.03280020033017

To the Editor.—  Platt (237:1234, 1977) is indeed correct that Coccidioides immitis is seldom recognized as a cause of pathogenic conditions of the upper respiratory tract. However, his assertion that there are only two other published reports of coccidioidomycosis of the upper respiratory tract, one of endolaryngeal and the other of epiglottic involvement, is erroneous. Oliver1 described a case of coccidioidomycosis in a 34-year-old man, involving nose, left hand, left index finger, larynx, and epiglottis. Biopsy of cutaneous as well as laryngeal and epiglottic lesions was positive for C immitis.