A rare case of disseminated Rhinosporidiosis highlighting the need for specific management protocol

Shetty, Vikram; Mohan, Akhilesh

doi:10.1016/j.ajoms.2012.05.001

Cited by 3 publications

(5 citation statements)

References 8 publications

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“…The disease can manifest itself in four forms: (a) nasal, (b) ocular, (c) cutaneous, and (d) disseminated 12 . Nasal rhinosporidiosis is the most common form, followed by ocular.…”

Section: Discussionmentioning

confidence: 99%

“…11 In our case, even on eliciting a detailed clinical history, The disease can manifest itself in four forms: (a) nasal, (b) ocular, (c) cutaneous, and (d) disseminated. 12 Nasal rhinosporidiosis is the most common form, followed by ocular. Nasal lesions are pink or purplered friable polyps studded with minute white dots (strawberry-like), which are sporangia containing the spores.…”

Section: Discussionmentioning

confidence: 99%

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Disseminated rhinosporidiosis masquerading as soft tissue round cell tumour diagnosed by fine needle aspiration cytology

et al. 2022

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Rhinosporidium seeberi belongs to the eukaryotic class Mesomycetozoea and causes chronic granulomatous lesions known as rhinosporidiosis. Rhinosporidiosis frequently involves the nasal cavity and nasopharynx through transepithelial invasion. Atypical presentations of this disease at other body sites have been reported, including the subcutis, visceral organs, bones, and genitals. Only a few cases of cutaneous and subcutaneous involvement have been reported to date. This chronic granulomatous condition is known for its recurrence following autoinoculation unless the correct diagnosis and appropriate treatment are given. We describe a case of an immunocompetent adult who had undergone fine needle aspiration cytology (FNAC) of mass-like swellings in the right thigh and right calf at another healthcare centre and had been diagnosed with a small round blue cell tumour. FNAC at our centre confirmed a rare case of rhinosporidiosis that was clinically mimicking a soft tissue neoplasm of the lower extremity, and the erroneous interpretation of the prior cytology studies had resulted in misinterpretation of the individually dispersed pathogenic organisms as individual malignant cells. FNAC of rhinosporidiosis can lead to early diagnosis and prompt treatment of this pathogen when it presents at unanticipated body sites.

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“…The disease can manifest itself in four forms: (a) nasal, (b) ocular, (c) cutaneous, and (d) disseminated 12 . Nasal rhinosporidiosis is the most common form, followed by ocular.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Disseminated rhinosporidiosis masquerading as soft tissue round cell tumour diagnosed by fine needle aspiration cytology

et al. 2022

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“…All cases of biopsy-proven rhinosporidiosis presenting to the center were treated according to our rhinosporidiosis management protocol (table 1). 6 The decision to carry out Le Fort I osteotomy for excision of the lesion was determined by the following inclusion and exclusion criteria.…”

Section: Methodsmentioning

confidence: 99%

“…4 Long-term use of Le fort I osteotomy for the management of nasopharyngeaL rhInosporIdIosIs: a case serIes The authors' experiences with the long-term assessment of rhinosporidiosis culminated in the formulation of a definitive protocol. 6 We present a review of 7 cases of rhinosporidiosis treated with a Le Fort I osteotomy at our center in the past 11 years. We examined (1) the efficacy of the protocol formulated by our center, (2) the use of Le Fort I osteotomy in management of the disease, and (3) the progress and prognosis of the disease.…”

Section: Introductionmentioning

confidence: 99%

Long-term Use of Le Fort I Osteotomy for the Management of Nasopharyngeal Rhinosporidiosis: A Case Series

2018

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Rhinosporidiosis is a rare, chronic, granulomatous infection of the mucous membranes that mainly involves the nose and nasopharynx; it occasionally involves the pharynx, conjunctiva, larynx, trachea and, rarely, the skin. The characteristic clinical features of this disease include the formation of painless polyps in the nasal mucosa or the nasopharynx that bleed easily on touch. At our center, excision of the lesion with a Le Fort I osteotomy is carried out in patients (1) in whom two or more previous attempts at excision of biopsy-proven rhinosporidiosis arising from the nasal mucosa was carried out or (2) in whom the rhinosporidiosis arises from the nasophayrngeal mucosa and/or extranasal sites. In this article we retrospectively present 7 cases in which, according to our inclusion criteria, complete excision of the lesion was carried out with a Le Fort I osteotomy. Excellent visualization of the entire maxillary and ethmoidal air cells after the down-fracture of the maxilla helped in the total removal of the lesions. Most of these lesions had multiple points of origin through the nasal, maxillary, and ethmoidal mucosa; the excellent visualization enabled direct cauterization of all these points of origin. The mean follow-up period was 7.96 years, and all patients were disease-free by the time the study was prepared. This article presents details of the treatment protocol and technique followed at our center for the treatment of nasopharyngeal rhinosporidiosis and the details of long-term follow-up. Through this study we hope to prove the efficacy of Le Fort I osteotomy in the definitive management of nasopharyngeal rhinosporidiosis.

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“…Europe, Africa, United States. Diseases has endemic nature in Sri Lanka and Southern part of India (Shetty and Mohan, 2013). The disease is also reported from Sri Lanka in humans, the maximum human cases on population basis.…”

Section: Etiological Agentmentioning

confidence: 99%

Rhinosporidiosis: A Riddled Disease of Man and Animals

Tiwari¹

2015

Adv. Anim. Vet. Sci.

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| Rhinosporidiosis is a non-contagious, sporadic, chronic granulomatous infection of man and large domestic animals, characterised by the production of large polyps with high recurrence rate. Polyps occur mainly in nasal, ocular regions; cutaneous and disseminated forms are relatively rare. Spread of these organisms to other areas in an affected person may involve blood, lymph or auto infection. Rhinosporidiosis has been reported form more than 70 countries and mainly the reports are concentrated from Sri Lanka and Southern India. Surgical removal of the polyp will be the cure and in some cases dapsone has given some cure. From the day of inception of this disease there had been a controversy for causative agent of this condition among eukaryotic protozoan parasite or algae or fungi or prokaryotic blue green algae which finally confirmed as a fungi Rhinosporidium seeberi. Recent works by various researchers shows that R. seeberi belong to the class Mesomycetozoea. Other mystery remains in its habitat and its inability to be cultured on laboratory media. Similarly, laboratory animal infection does not yield classical form of disease as it does in human and large animals. The pathogen is so mysterious that the mechanism behind evasion of immune mechanism is also not clear. Still various aspects of disease such as mode of transmission, mechanism of infection, biology of rhinosporidiosis, immunological response and laboratory culture techniques are unresolved mysteries due to paucity of documented data which demands more exploration. This review illustrates main features of rhinosporidiosis and systematic approaches for the diagnosis and treatment of this controversial pathogen.

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A rare case of disseminated Rhinosporidiosis highlighting the need for specific management protocol

Cited by 3 publications

References 8 publications

Disseminated rhinosporidiosis masquerading as soft tissue round cell tumour diagnosed by fine needle aspiration cytology

Disseminated rhinosporidiosis masquerading as soft tissue round cell tumour diagnosed by fine needle aspiration cytology

Long-term Use of Le Fort I Osteotomy for the Management of Nasopharyngeal Rhinosporidiosis: A Case Series

Rhinosporidiosis: A Riddled Disease of Man and Animals

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