Rhinosporidiosis: Various Presentations and Different Sites

Bandyopadhyay, Saumendra Nath; Jana, Utpal; Bandyopadhyay, Gautam; Majhi, Tapas Kumar; Sen, Sumit; Das, Sourav; Mandal, Ipsita

doi:10.47210/bjohns.2015.v23i2.43

Cited by 11 publications

(9 citation statements)

References 16 publications

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“…4 Most of the patients presented with unilateral nasal obstruction followed by nasal bleeding. 4 Similar results found in studies conducted by Guru et al, and Bandyopadhyay et al 5,6 The most common site involved is nasal mucosa followed by nasopharynx, oropharynx, tracheobronchial tree, esophagus, conjunctiva and ears. 7 Cutaneous and visceral involvement occurs following disseminated disease.…”

Section: Discussionsupporting

confidence: 76%

Primary nasal rhinosporidiosis - a ten year multicentre experience: what we know?

Rajendran

Ashok

Ramkumar

2020

Int J Otorhinolaryngol Head Neck Surg

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Background: Rhinosporidiosis is a disease caused by Rhinosporidium seeberi that affects the mucous membranes primarily. Nose is the commonest organ to be involved. The authors of this paper with more than ten years of experience across various institutions in Tamil Nadu have analysed their cases and have found out that posterior lip of valve of hasner in the inferior meatus to be the site of attachment in primary nasal rhinosporidiosis irrespective of the endemicity of the region.Methods: This is a prospective study of seventy eight cases of primary rhinosporidiosis over a period of ten years (February 2009 to December 2019). Recurrent cases, those who did not come for follow up and who were operated under local anesthesia were not included in this study. All the patients (45) were subjected to endoscopic surgery for excision of the rhinosporidiosis under general anesthesia after informed written consent and sent for histopathological examination. Results: Most common age group being 25 to 50 years with male preponderance and the common site of occurrence is the posterior lip of valve of Hasner in the inferior meatus with seasonal variation with O+ve blood group preponderance. Most common clinical presentation is unilateral nasal obstruction.Conclusions: Rhinospordiosis is hyperendemic in Tiruvarur and Thiruvannamalai. The posterior lip of valve of hasner is the commonest site of attachment. Correct identification of the site of attachment and surgical excision with cauterisation prevents its recurrence.

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Section: Discussionsupporting

confidence: 76%

Primary nasal rhinosporidiosis - a ten year multicentre experience: what we know?

Rajendran

Ashok

Ramkumar

2020

Int J Otorhinolaryngol Head Neck Surg

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“…Bandyopadhyay et al showed similar results in their study. 14 Guru and Pradhan found most of their patients presented with epistaxis, followed by nasal discharge, nasal obstruction, sneezing and anosmia. 8 Guru and Pradhan in their study found a greater number of cases with nasal involvement than those with extra-nasal involvement.…”

Section: Discussionmentioning

confidence: 96%

“…Although the typical look of rhinosporidiosis is usually sufficient to arrive at a diagnosis, delayed presentation, extra nasal presentation or involvement of multiple anatomically unrelated sites make the diagnosis difficult. 14 All cases of nasal and nasopharyngeal rhinosporidiosis were treated by wide endoscopic excision and cauterization of the base by diathermy. The case of disseminated rhinosporidiosis presented with a pedunculated rhinosporidial mass arising from the posterolateral wall of the trachea which was treated with the help of a special endotracheal tube designed by the anesthetist, and using a 6 mm rigid bronchoscope, the pedunculated mass was removed.…”

Section: Discussionmentioning

confidence: 99%

An epidemiological study of rhinosporidiosis in a tertiary care center in Rajnandgaon, Chhattisgarh

Singh¹,

Nand²

2020

Int J Otorhinolaryngol Head Neck Surg

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Background: Rhinosporidiosis is an age-old endemic scourge which has affected various parts of the world, most notably India and Sri Lanka. Rhinosporidiosis is endemic in the state of Chhattisgarh although a large body of literature exists regarding this problem, postoperative recurrence rates continue to vary, and the effect of public health education in the eradication of this disease has not been taken into account. The aim of this study was to find out the site, presentation and postoperative recurrence rate in patients with rhinosporidiosis.Methods: This was a Prospective study involving operated cases of rhinosporidiosis in the department of ear, nose and throat of a tertiary care referral center over a period of 3 years. The behavioral pattern of the disease, its epidemiology, rate of recurrence and outcomes of surgical management were analyzed.Results: A statistically significant correlation could be found between male gender and rural residential status and incidence of rhinosporidiosis. Bathing in rivers and ponds were found to be strongly associated with rhinosporidiosis (p=0.005). Almost all patients were found to be of low socioeconomic status. Nasal obstruction and epistaxis were the most common presenting complaints.Conclusions: Rhinosporidiosis is strongly associated with male gender, young and middle-aged adults, agricultural occupations, rural residential status, a history of bathing in ponds and rivers and a low socioeconomic status. Post-surgical recurrence of rhinosporidial masses can be avoided with careful and complete clearance of the mass and cauterization of the base. Appropriate and consistent public health education helps to reduce the incidence of rhinosporidiosis in endemic communities.

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“…Although the typical look of rhinosporidiosis, a fleshy mulberry-like mass with dotted sporangia, is usually sufficient to arrive at a clinical diagnosis, delayed presentation and extranasal involvement of multiple anatomically unrelated sites sometimes make the diagnosis difficult. [ 14 ] The clinical presence of typical nasal cavity lesion, with multiple lesions in the other parts of respiratory tract or elsewhere in the body is enough to make a correct diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Rhinosporidiosis in Central India: A cross-sectional study from a tertiary care hospital in Chhattisgarh

Gupta

Singh

2020

Trop Parasitol

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Background and Aims: Chhattisgarh is an endemic region for rhinosporidiosis infection in Central India. This high prevalence can be explained by suitable hot tropical environment as well as social practice of common bathing of public with animals outdoor, mainly in ponds and river. There are more than 200 ponds in and around Bilaspur district, mainly in Ratanpur region. However, due to limited literature describing rhinosporidiosis from this part of India, it remains neglected and still not recognized as a serious health-care issue and any definite government or private measures/initiatives are not taken to counter this problem. Materials and Methods: It is a retrospective demographic study analyzing 113 consecutive biopsies received from different clinical departments in a tertiary care center with a histological diagnosis of rhinosporidiosis over a period of 7 years from January 2011 to December 2017. Results: Most of the patients presented in the otorhinolaryngology (86.7%) department, followed by ophthalmology (10.6%). The mean age of the patients was 23.4 years, with a range of 3–70 years. A male-to-female ratio of about 3:2 was noted. Nasal cavity was the most common site of involvement (90/113), followed by conjunctiva (7/113), nasal cavity with oropharynx (6/113), and eyelid (3/113). Patients' complaints showed a varying range from nasal block, nasal mass, bleeding, bleed on touch, difficulty in breathing, and conjunctival mass. Two of the cases presented as recurrent rhinosporidiosis. Conclusion: Rhinosporidiosis is endemic and possesses a great health-care burden in Chhattisgarh. The socioeconomic status, outdoor bathing, and cultural practice in rural areas are the major factors contributing to newer cases. An urgent government initiative to decontaminate public water bodies and public health education through health-care workers and nongovernment organizations is the need of the hour to curtail the incidence of rhinosporidiosis.

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Rhinosporidiosis: Various Presentations and Different Sites

Cited by 11 publications

References 16 publications

Primary nasal rhinosporidiosis - a ten year multicentre experience: what we know?

Primary nasal rhinosporidiosis - a ten year multicentre experience: what we know?

An epidemiological study of rhinosporidiosis in a tertiary care center in Rajnandgaon, Chhattisgarh

Rhinosporidiosis in Central India: A cross-sectional study from a tertiary care hospital in Chhattisgarh

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