Disseminated rhinosporidiosis

Bandyopadhyay, Saumendra Nath; Das, Sourav; Majhi, Tapas Kumar; Bandyopadhyay, Gautam; Roy, D

doi:10.1017/s0022215113002193

Cited by 12 publications

(14 citation statements)

References 8 publications

(13 reference statements)

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“…In our series, the peak age of incidence was in the second to fourth decade of life which is the active working age group which Baliga and Naik. 10 There is a male predominance in our series of 2.7:1 which is similar to the report by Bandyopadhyay et al 6 Recurrence is reported to be high by earlier authors because of previous practice of conventional surgery which lacked the precision of endoscopic localization of the rhinosporidiosis stalk at primary surgery, hence the problem of leaving behind residual disease which leads to post-operative seeding which can be eliminated by present technique of endoscopic assisted surgery and meticulous cauterization of pedicle at its attachment to the nasal mucosa and also ensures through removal of primary disease which along with regular endoscopic follow-up is the only surety for preventing long term recurrences. Treatment of rhinosporidial lesions is mainly surgical.…”

Section: Discussionsupporting

confidence: 90%

“…Das 5 reported an incidence of 70% affecting nasal mucosa, 15% involvement of conjunctiva and 3% involvement of urethral mucosa and only one patient in their series had disseminated disease with previous history of nine operations in their series of 96 patients reported from Bankura district of West Bengal, India. The incidence of disseminated rhinosporidiosis is extremely rare Bandyopadhyay et al 6 Das 5 reported 31 cases of 7 Sudarshan et al, 8 and Mukherjee et al 9 The disease is reported throughout the year as reported by Baliga and Naik 10 and Bandyopadhyay et al 6 and does not show any seasonal variation as reported by Paul et al 11 from Jammu. In our series, the peak age of incidence was in the second to fourth decade of life which is the active working age group which Baliga and Naik.…”

Section: Discussionmentioning

confidence: 87%

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Rhinosporidiosis: a clinicopathological study from a Rural Tertiary Health Care Centre, Bihar, India

Majumdar¹,

Biswas²,

Paul³

et al. 2014

Int J Adv Med

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Background: Rhinosporidiosis is a chronic granulomatous infection characterized by a bleeding polypoidal mass which commonly affects the nose and nasopharynx. The disease is caused by Rhinosporidium seeberi. It grows in stagnant water and is thought to be transmitted to human by infected soil and water by gaining entry through traumatized epithelium and mucosa of nose and nasopharynx. It has a high incidence of occurrence among rural population. Surgical excision is the treatment of choice. Methods: Totally, 26 patients of histologically proven cases of rhinosporidiosis were included in this clinicopathological study. The mode of presentation in all these patients was polypoidal nasal mass causing recurrent bleeding and nasal obstruction. The period of study was from May 2010 to April 2014. All patients treated surgically were followed-up from 6 months to 1 year. Results: There were 26 patients of histologically proven rhinosporidiosis of nose and nasopharynx. Of total 26 cases, there were 19 males and 9 female patients in our study with a male to female ratio of 2.7:1. The age of presentation varied from 14 years to 67 years, most patients presenting in the second to sixth decade of life with maximum patients in the third and fourth decade of life and were from rural and poor socioeconomic background. Recurrent cases were given dapsone. Conclusion: Rhinosporidiosis which was previously thought to be a fungus is now considered as a protoctista parasite, which involves fish and other amphibians, a fungus like protozoa of the class mesomycetozoea.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 87%

Rhinosporidiosis: a clinicopathological study from a Rural Tertiary Health Care Centre, Bihar, India

Majumdar¹,

Biswas²,

Paul³

et al. 2014

Int J Adv Med

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“…It appears that, like tuberculosis, rhinosporidiosis can affect any organ system which might not necessarily be anatomically contiguous [9]. However, most reports in recent years, evident from the PubMed/MEDLINE Ò search with the keyword ''rhinosporidiosis'', are single case descriptions at unusual, extranasal sites with varied and atypical presentations.…”

Section: Discussionmentioning

confidence: 99%

Socio-demographic Correlates of Rhinosporidiosis: A Hospital-Based Epidemiologic Study in Purulia, India

Dutta

Haldar

Dutta

et al. 2016

Indian J Otolaryngol Head Neck Surg

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The present paper attempts to explore the sociodemographic profile of patients with rhinosporidiosis in an endemic area. A cross-sectional study was carried out in a tertiary-care hospital in Purulia district, India, including consecutive patients with histologically-proved rhinosporidiosis. Their socio-demographic profiles were obtained through a pre-designed proforma with given epidemiologic parameters. Data was statistically analyzed with inputs from literature review. Of the 39 patients included, 87 % were fresh/new cases. The age-group of 10-20 years was mostly involved, with multiple peaks around 50. About 82 % were from rural background, commonly involved in cattle farming and agriculture, with a universal habit of pond-bathing. There was a male preponderance; however women were being increasingly affected. Nasal cavity was the predominant site involved; nasal obstruction and epistaxis were the primary complaints. About 13 % had recurrent lesions that were statistically related to higher age-group (C15 years) and occupation (agriculture, labor). Rhinosporidiosis is predominantly the disease of young rural adults engaged in field activities and habituated to pondbathing. A bimodal age distribution was noticed. The present article provides an update on the socio-demographic perspectives of rhinosporidiosis in an endemic zone. It also summarizes the factors that would identify the vulnerable population and help formulate preventive measures.

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“…[7][8][9] Previously reported cases of multicentric head and neck rhinosporidiosis have mentioned the simultaneous involvement of skin across various anatomic sites such as muscle, external genitalia, urethra, and/or bone in the same patients. 10,11 These were the cases of disseminated rhinosporidiosis.…”

Section: Discussionmentioning

confidence: 99%

Nondisseminated Rhinosporidiosis with Multisite Involvement in the Head and Neck

et al. 2018

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Rhinosporidiosis is a communicable disease prevalent in tropical countries that affects one or more mucocutaneous sites such as the nasal cavity, pharynx, skin, bronchus, genitals, and bone, in isolation or together. We report a case of multicentric rhinosporidiosis involving the nasal cavity, oropharynx, larynx, and cheek skin without disseminated disease outside the head and neck. Although the appearance of mucocutaneous lesions in our patient was similar to that of papilloma or neoplasm, the distinct clinicopathologic characteristics of the rhinosporidiosis guided us in managing the case successfully. In our own experience with 11 patients with rhinosporidiosis on whom we operated over the past 5 years, the nasal cavity and pharynx were the most commonly involved sites in the head and neck. Surgical excision of all lesions along with cauterization of the base and long-term dapsone therapy is the current standard of care for multicentric rhinosporidiosis.

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Disseminated rhinosporidiosis

Cited by 12 publications

References 8 publications

Rhinosporidiosis: a clinicopathological study from a Rural Tertiary Health Care Centre, Bihar, India

Rhinosporidiosis: a clinicopathological study from a Rural Tertiary Health Care Centre, Bihar, India

Socio-demographic Correlates of Rhinosporidiosis: A Hospital-Based Epidemiologic Study in Purulia, India

Nondisseminated Rhinosporidiosis with Multisite Involvement in the Head and Neck

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