Rhinosporidiosis is a chronic granulomatous infectious disease caused by Mesomycetozoea Rhinosporidium seeberi. This highly recurrent polypoid lesion has a predilection for the nose and nasopharynx, although other organ systems may be affected. Involvement of the tracheobronchial tree is very rare, and poses a challenge for diagnosis and management. In this report, we present a 30‐year‐old man with a history of recurrent nasal polyp who presented with cough, shortness of breath, haemoptysis, and a radiological feature of right lung collapse on imaging. He was diagnosed with rhinosporidiosis based on histopathological examination of bronchoscopic biopsy specimen taken from the right principal bronchial mass. Shortly after hospitalization, he developed acute respiratory distress requiring emergency bronchoscopic intervention. A pinkish mulberry‐like tracheal and right bronchial mass was removed endoscopically with cauterization of the base of the lesion. On long‐term follow‐up, the patient was free of symptoms without recurrence of airway disease.
Chest wall tuberculosis (TB) is a rare form of extrapulmonary TB, especially in an immunocompetent patient. The disease may resemble a pyogenic abscess or tumor. We present a young lady who developed a slowly growing chest wall swelling, proven as tuberculous etiology.
J Bangladesh Coll Phys Surg 2022; 40: 136-137
A 5-month-old male infant was admitted with the complaints of cough & fever for 18 days and respiratory distress for 4 days. He was febrile, tachypneic (RR-58/min) with SpO2 - 94% on 2 L/min with face mask with left sided restricted chest movement with diminished breath sound. Initially he was diagnosed as left sided pleural effusion. Chest x-ray was suggestive of encysted pleural effusion (left). CT of chest revealed collapsed left lower lobe with pleural effusion and inflammatory changes in left upper lobe. Per operative finding showed pleural thickening, adhesion of oblique fissure, and perforated lower lobe of left lung. And finally infant was diagnosed as ruptured lung abscess of lower lobe of left lung with empyema thoracis. The patient was managed with decortication with segmental resection, and inj. linezolid after getting C/S and recovered.
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