A clinicopathological study of rhinosporidiosis in a tertiary care hospital

Shariff, Mudassar A.

doi:10.18203/issn.2454-5929.ijohns20182599

Cited by 3 publications

(2 citation statements)

References 11 publications

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“…All of them had a history of bathing in stagnant water. The recurrence rate of nasal lesions is high, nearly 30% in some studies [16]. In the present study, the recurrence of nasal lesions was 25%.…”

Section: Discussionsupporting

confidence: 51%

Unusual Presentations of Disseminated Cutaneous Rhinosporidiosis Masquerading as Tumour Like Lesions of Skin: A Clinicopathological Study

Nayak,

Pandey

2021

NJLM

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Introduction: Rhinosporidiosis is a chronic granulomatous infective disease caused by Rhinosporidium seeberi which primarily affects the mucosa of the nasal cavity. Cutaneous lesions are infrequent. However, disseminated cutaneous lesions with varied presentations are very rare in routine pathology practice. Aim: The study aimed to diagnose cutaneous lesions due to rhinosporidiosis on Fine-Needle Aspiration Cytology (FNAC) and to confirm the same by histology. Materials and Methods: This was a cross-sectional study. A total of 8 cases of disseminated cutaneous Rhinosporidiosis out of 815 cutaneous lesions were observed over five years, from September 2013 to October 2018, in Department of Pathology, VIMSAR, Burla. FNAC and scrape cytology of the lesions were performed and studied after Diff-Quik and H&E stain. The lesions were excised and histopathological examination was done. Results: It was observed that the overall incidence of cutaneous rhinosporidiosis diagnosed on FNAC was very low (less than 0.1%) They were mainly seen in middle-aged males from low socio-economic status and rural areas. The skin lesions were mostly subcutaneous nodules, few wart-like growth and ulcerative growth, some of which were initially diagnosed as neurofibroma and squamous cell carcinoma. FNAC and histopathological examination helped to confirm the diagnosis of rhinosporidiosis in all cases. Conclusion: Disseminated cutaneous rhinosporidiosis has varied clinical presentations, mimicking other cutaneous lesions. Hence, proper diagnosis of the patient is necessary which can be achieved by FNAC and histopathology.

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Section: Discussionsupporting

confidence: 51%

Unusual Presentations of Disseminated Cutaneous Rhinosporidiosis Masquerading as Tumour Like Lesions of Skin: A Clinicopathological Study

Nayak,

Pandey

2021

NJLM

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“…Of note, up to 48% of cases experienced unilateral nasal congestion caused by the mass-like effect. 10 Other nasal complaints involve epistaxis and rhinorrhoea. Given the atypical clinical presentation, it is mandatory to differentiate rhinosporidiosis from chronic granulomatous diseases, angiomatous polyp, angiofibroma, inverted papilloma, rhinoscleroma, and even malignancy.…”

Section: Discussionmentioning

confidence: 99%

Recurrent rhinosporidiosis: A case report from Malaysia and review of literature

Tong

Ismail

Mohammad

et al. 2023

Proceedings of Singapore Healthcare

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Over the decades, rhinosporidiosis has remained an enigma. It is a recalcitrant disease caused by Rhinosporidium seeberi, primarily affecting the nasal cavity, conjunctiva, and less frequently involved sites, including skin, urethra, and others. We report a case of a local from Sabah who has presented with recurring symptoms of nasal obstruction and epistaxis for two decades. He had previously undergone multiple endoscopic excisional surgeries before receiving treatment at our centre. Otorhinolaryngeal examination revealed polypoidal masses occupying bilateral nasal cavities with a perforation of the nasal septum. He underwent surgical resection of the lesions, and the histopathological examination confirmed recurrent rhinosporidiosis. Due to its sporistatic effects, dapsone was chosen as the pharmacological treatment in this case. However, after a year of follow-up, he developed similar symptoms and the endoscopic findings, indicated a recurrence of the disease. The histopathological samples obtained during the repeated surgery for recurrent polypoidal masses, confirmed the diagnosis of rhinosporiodiosis. As the disease poses diagnostic and therapeutic challenges, clinicians should be prudent in establishing the diagnosis in non-endemic areas, such as Malaysia, and evaluating the possibility of recurrence.

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