AIIMS doctors report a rare case of nasal mass due to Rhinosporidiosis
All India Institute of Medical Sciences, (AIIMS) New Delhi, India doctors Dr Chirom A. Singh and Pirabu Sakthivel has reported a rare case of Rhinosporidiosis. The case has appeared in the NEJM.
Rhinosporidiosis has been known for over 100 years since its first description in Argentina. It is a rare chronic granulomatous disease endemic in some areas of Asia, such as south India and Sri Lanka.
The mass was excised, and the base of the lesion was cauterized. Histopathological examination revealed multiple thick-walled sporangia in various stages of maturation, surrounded by dense inflammation (Panel B, hematoxylin and eosin). A diagnosis of rhinosporidiosis was made. Rhinosporidiosis is a chronic granulomatous disease caused by the aquatic protistan parasite Rhinosporidium seeberi.
The typical presentation is a reddish, friable mucosal polyp, commonly involving the nasal cavity, that bleeds profusely on touch. The oropharynx, conjunctiva, rectum, and external genitalia may also be affected. At follow-up 8 months later, the patient had areas of recurrence in the nasopharynx that were removed.
For more details click on the link: DOI: 10.1056/NEJMicm1811820
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