Laryngeal thrush most often occurs in the summer in infants, especially with artificial feeding, as well as in children with eating disorders and in adults suffering from diabetes, cachexia, tuberculosis and other chronic infections that depress immunity.
Etiology and pathological anatomy. The throat of the larynx is caused by the fungus Oidium albicans, whose colonies develop on the mucous membrane of the mouth and pharynx in the form of white raids, which in the first days of the disease are tightly welded to the underlying tissues, and then easily torn away. In the larynx, small whitish nipple formations are observed, isolated from each other by zones of the hyperemic mucosa. These formations, merging, are located on the epiglottis and aryepiglottic folds, sometimes on the mucous membranes of the larynx and vocal folds.
Symptoms and clinical course. Complaints of the patient are reduced to difficulties during swallowing, hoarseness of the voice, sensations of burning and the presence of a foreign body. Cases of breathing, leading to suffocation, are not uncommon. The disease develops non-aggressively and slowly. The general condition of the patient basically depends on the disease against which the thrush of the larynx arose. The disease often recurs.
The diagnosis is determined by the presence of similar changes in the oral cavity and pharynx. The disease is differentiated from other diseases of the larynx, manifested by the formation of pseudomembranous raids. The final diagnosis is established by microscopic examination of the raids and the detection of characteristic fungi.
Treatment consists in the use of antifungal drugs and alkaline aerosols, rinsing with alkaline solutions, lubrication of affected areas with gentian violet. The main efforts should be aimed at increasing the resistance of the body, establishing a full-fledged diet and completeness of the vitamin and microelement balance.