Bronchial rhinosporidiosis: An unusual presentation

Journal of Evolution of Medical and Dental Sciences, 2014

The purpose of this study is to determine the prevalence of rhinosporidiosis in various groups of people & to know the various possibilities of extra nasal presentation as well as manifestations, so that the disease can be diagnosed early & proper treatment can be given at an early date. STUDY DESIGN: Prospective study. SETTINGS: Tertiary referral center [VSS Medical College, Burla.] MATERIAL & METHODS: For the observation on various presentations of rhinosporidiosis, the patients coming with mass in nose, complaining of nasal obstruction or recurrent epistaxis, & in mass in the other site of the body suspected to suffer from rhinosporidiosis were studied, treated & followed up in the department of ENT, VSS Medical College Hospital, Burla, Sambalpur. All such cases from September 2010 to August 2012 were taken into account. Their detailed history taken & their treatment is followed up. The results obtained are presented. RESULTS: Nose was the most common [MC] site of rhinosporidiosis. In the extranasal presentation nasopharynx is the MC site. Other sites are eye, skin & larynx. Common age group of involvement is 21-30 years. Males are affected more. The disease is prevalent among rural population. Nasal obstruction & epistaxis are the MC presenting symptom in nasal rhinosporidiosis. In nasopharyngeal cases foreign body sensation, stuffiness in ear & speech defect are the presenting symptoms. Ocular cases mostly presented with mass in conjunctiva or foreign body sensation in eye with bloody discharge. CONCLUSION: Atypical presentation of rhinosporidiosis in head and neck region is rare. Very often, this atypical presentation causes dilemma in diagnosis and creates confusion. Diagnosis of rhinosporidiosis should be kept in mind in all granulomatous lesions involving the mucous membranes in the endemic area.

According to Swindle (1935) in the mucous membrane of the nose the arrangement of the blood vessels consists of a superficial venous plexus and a deeper arteriolar. System, arranged parallel to the long axis of the nose. The relationship of taking bath in infected pond and agriculture work is explained by the above observation. There is no specific occupational incidence in other of nasal mass in the present series. Out of 8 cases (6.15%) of malignant tumours, sq. cell carcinoma is the most common (66%), in which three cases (37.5%) were sq. cell carcinoma of maxillary sinus, 2 cases of sq. cell carcinoma of nose & 1 case of sq. cell carcinoma of ethmoid sinus. Nasal masses are more common on 2 nd decade (33.33%) followed by 3 rd decade (26%). Malignancy of nose /PNS are found in 4-6 th decade of life. Nasal masses are more common in males (71%)

Bengal Journal of Otolaryngology and Head Neck Surgery, 2015

IntroductionRhinosporidiosis commonly affects nasal mucosa but may have varied presentations depending upon the site of involvement. Materials and Methods119 patients of rhinosporidiosis, attending the two medical colleges of West Bengal over a period of two years were reviewed. ResultsGranulomatous lesion in the nose and nasopharynx was the commonest presentation. The most common symptoms were nasal obstruction, bleeding from the nose and nasal discharge. The less commonly involved sites were the eye, penis, skin, subcutaneous tissue, muscle and bone. DiscussionMost of the extranasal rhinosporisdiosis were secondary to nasal disease. Extranasal lesions do not have the typical granular polypoid appearance of the nasal and nasopharyngeal rhinosporidiosis. Extranasal rhinosporidiosis could be excised with minimal operative bleeding. ConclusionRhinosporidiosis has nasal and extranasal presentations. This chronic disease may also present acutely with respiratory distress or haemorrhage....

Bangladesh Journal of Otorhinolaryngology, 2015

Rhinosporidiosis is a chronic granulomatous infectious disease caused by rhinosporidium seeberi that usually affects the nasal mucosa and ocular conjunctiva. Involvement of trachea ad bronchial tree is extremely rare. Few cases (8) have been reported in literature. We report a case of tracheal rhinosporidiosis that presented with stridor and haemoptysis with past history of surgery for recurrent rhinosporidiosis of nose and nasopharynx. Complete endoscopic excision and cauterization of base was done under general anaesthesia. No recurrent was observed for last 9 months of follow up. Tracheo-bronchial involvement by rhinosporidiosis should be suspected when a known case of rhinosporidiosis involving uper respiratory tract presents with respiratory distress and/or haempostysis. DOI: http://dx.doi.org/10.3329/bjo.v20i1.22016 Bangladesh J Otorhinolaryngol; April 2014; 20(1): 39-42

2016

To study incidence and clinicopathological features of nasal rhinosporidiosis, amongst inflammatory lesions of the nose. A Retrospective study of biopsy specimens from nose, diagnosed as rhinosporidiosis on histology, over a ten year period from January 2002 to October 2012, was carried out. The detailed clinical history was collected from clinical record. The tissues were studied with Haematoxylin and Eosin stain and Periodic acid Schiff stain (PAS). Total 09 cases of nasal rhinosporidiosis were studied. Rhinosporidiosis was most commonly seen in 2 nd and 3 rd decade with 3 (37.50%) cases in each. The youngest patient was 11 years old and oldest was 40 years old. All cases were seen in males. All the 9 patients of rhinosporidiosis presented with nasal mass, in addition epistaxis was seen in 6 (75%) cases. Rhinosporidiosis earlier thought to be protozoan now proved as of bacterial origin, often presenting as nasal mass with epistaxsis in young adult males.

Rhinosporidiosis is a chronic granulomatous infection of the nose and nasopharynx. It is endemic in South Asia and commonly affects males in their second to fourth decades of life. Majority of the cases are found in the upper respiratory tract such as anterior nares, nasal cavity, inferior turbinate, nasal septum, floor, and nasopharynx. Although nose or nasopharynx is the most common location for rhinosporidiosis, it can also involve the skin, parotid duct, oropharynx, and larynx. Here, we report the case of a 42-year-old male who presented with extensive rhinosporidiosis in both nasal cavities and nasopharynx along with involvement of the roof of the oral cavity through erosion of the hard palate. The mainstay of treatment is wide excision followed by electrocautery of the base which ablates the recurrence. The rhinosporidiosis mass from different sites of the attachment was completely excised along with cauterization of the base. The diagnosis was confirmed by histopathological report.

Journal of Natural Science, Biology and Medicine, 2015

Rhinosporidiosis, is a chronic granulomatous disease presenting as a polypoidal mass in the nasal cavity and nasopharynx caused by Rhinosporidium seeberi and is endemic in India and Sri Lanka. Diagnosis is mainly by clinical observations and is confi rmed by histopathology. We report a case of atypical rhinosporidiosis that presented as an oropharyngeal mass and mimicked chronic tonsillitis. Hence possibility of this atypical rhinosporidiosis should be included in the clinical differential diagnosis of any posterior oral or oropharyngeal mass, particularly when managing patients from rural endemic areas.

Annals of Tropical Medicine and Public Health, 2012

Rhinosporidiosis is a chronic infestation by the fungus Rhinosporidium seeberi, which predominantly affects the mucus membranes of the nose and nasopharynx. We report a case of rhinosporidiosis with presentation as a mass extending up to the oropharynx. Functional endoscopic sinus surgery was performed.

Indian Journal of Otolaryngology and Head & Neck Surgery, 2010

Rhinosporidiosis is primarily an infection of the nose. Though occasional involvement of other areas in the human body has been reported, it rarely presents as a disseminated disease. We describe two cases of recurrent nasopharyngeal rhinosporidiosis, one of them with cutaneous and pulmonary involvement. The clinical manifestations and the management of both the cases are discussed.

Kulak burun boğaz ihtisas dergisi : KBB = Journal of ear, nose, and throat, 2004

Rhinosporidiosis is a chronic granulomatous inflammatory disease of the mucous membranes caused by Rhinosporidium seeberi. The disease is endemic in India, but is very rare in other countries. A review of the literature shows that our patient is the second documented case from Turkey. Involvement and erosion of the anterior wall of the maxillary sinus as in this case is very rare. A 47-year-old-male is presented with the clinicopathological features and transmission of the disease is discussed.