We report three cases of rhinosporidiosis from migrant population of Delhi. Three male patients had sino-nasopharyngeal, nasopharyngeal and nasal rhinosporidiosis, respectively. One patient gave a history of bathing in stagnant water. The diagnosis was made by clinical presentation and microscopic observation of characteristic sporangia of Rhinosporidium seebri in mycological and histopathological investigations. All the patients were successfully treated with complete surgical excision of lesions and cauterization of base. There were no recurrences.
Prim ary nasal tuberculosis is rare. We report a case that was all the more extraordinary because ofthe age and sex of the patient (an ll-year-old boy), the unusual associated sympto ms (epistaxis and grand mal seizures), and the presence of intracranial extension. Clinical and radialogic findin gs on our initial evaluation suggested that the patient had a large sinonasal malignancy. The pati ent manifested no evidence of pulmonary tuberculosis. The diagnosis of prim ary nasal tuberculosis was established only aft er we obtained the results of histopathology of the excised mass and a subsequent tuberculin skin test; the diagnosis was confirmed by the patient' s rapid response to antituberculosis drug therapy. We also review the relevant literature on this rare condition.
We describe an unusual case in which a 35-year-old man presented with skull base mucormycosis with osteomyelitis secondary to squamo us cell carcinoma of the temporal bone. We also review the literature on the clinical characteristics, diagnosis, and treatment of mucormycosis.
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