Harjitpal Singh

Introduction: 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. Case Presentation: 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. Conclusion: 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. Keywords: Candidiasis, Fungal epiglottitis, Odynophagia

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. Keywords: Parotid Mass, Facial Nerve Palsy, Parotitis

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.   Keywords: Haemangioma, Pinna capillary

Tuberculosis of the parotid gland is uncommon in ENT practice. If not associated with sinus/abscess formation, it becomes difficult to differentiate it from neoplasm of the gland. In cases where it involves only the gland (Primary Tuberculosis), then the diagnosis mainly depends on high index of suspicion of the treating physician. Radiological support, FNAC or HPE are the other helping modes to arrive on a diagnosis. FNAC is a simple process with less morbidity for the patient. We treated a patient successfully with medical treatment after FNAC. Keywords: Parotid gland, Tuberculosis, FNAC.

Parathyroid cyst is one of the least common causes of neck and mediastinal mass and often mistaken be thyroid cyst. Despite advancement in radiological and cytological investigations diagnosing a parathyroid cyst had always been a clinical challenge and mistaken for thyroid pathology and it is only diagnosed during histopathological examination post-surgical resection. The pathogenesis of parathyroid cyst includes the embryological remnant of the 3 or 4 branchial arch with accumulation of colloid material within it. These are classified into functioning and non -functioning depending on whether they are secreting parathyroid hormone and resulting in hypercalcemia. Surgery is indicated in all functioning Parathyroid cysts to alleviate the symptoms of hypercalcemia, larger Parathyroid cysts, and recommended in Parathyroid cysts that recur following more conservative approaches. Keywords: Parathyroid cyst, Functioning, Non-functioning, Surgical excision