Hyperplastic candidiasis - right-oral cavity, tonsil hypopharynx and larynx

A twenty five year old female, presented with burning in throat, Odynophagia and characteristic history of falling of granules, He had a verrucous type granular lesion right retromolar area., tonsil & its fossa, Lingual Surface Epiglottis & Hypoharyngeal wall, Right Aryepiglottic fold & ventricular fold Oedmatous and Scattered granules on both vocal folds & right Posterolateral border of tongue. Candida was detected in 10% Potassium Hydroxide, gram stained smear, prepared from tissue scrapping. Histopathology report of excised specimen was Fungal Granuloma. She was immunocompetent & was otherwise normal. Disease could possibly be attributed to virulence attributes of Candida. This hyperplastic candidiasis was combinedly treated with surgical excision and oral daily 100mg, fluconazole for six weeks, with Elevan months of follow-up. This is indeed a very rare case & only very few such cases, are reported so far in literature.