A man’s voice grew hoarse for no obvious reason. It turns out, he had fungus in his throat.

Over the course of a year, a man’s voice grew progressively more hoarse and his speech became shrill and grating, but he didn’t know why. Upon examining the man, doctors discovered the reason: Fungus was growing in his throat.

According to the report of the man’s case, published Thursday (Aug. 4) in the journal JAMA Otolaryngology–Head & Neck Surgery (opens in new tab), the man appeared otherwise healthy when he went to a clinic in Pennsylvania that treats conditions of the head and neck. The man, in his 60s, reported that he’d developed “progressively worsening hoarseness” and shortness of breath over the past 12 months. His primary care physician had previously treated him with inhaled corticosteroids — a standard treatment for asthma — but his symptoms hadn’t improved.

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