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Disseminated rhinosporidiosis

Published online by Cambridge University Press:  14 October 2013

S N Bandyopadhyay ,
S Das ,
T K Majhi ,
G Bandyopadhyay  and
D Roy
S N Bandyopadhyay*
Affiliation:
Department of ENT, Bankura Sammilani Medical College, Bankura, West Bengal, India
S Das
Affiliation:
Department of ENT, Bankura Sammilani Medical College, Bankura, West Bengal, India
T K Majhi
Affiliation:
Department of Urosurgery, Bankura Sammilani Medical College, Bankura, West Bengal, India
G Bandyopadhyay
Affiliation:
Department of Pathology, R G Kar Medical College, Kolkata, West Bengal, India
D Roy
Affiliation:
Department of Orthopaedics, Bankura Sammilani Medical College, Bankura, West Bengal, India
*
Address for correspondence: Dr S N Bandyopadhyay, Flat 3R-3/5, Ananya Housing Estate, 25C, R M Dutta Garden Lane, Kolkata 700 010, West Bengal, India E-mail: sban_kolkata@rediffmail.com
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Abstract

Introduction:

Rhinosporidiosis primarily affects the mucous membranes of the nose and nasopharynx. The disseminated form of this chronic fungal disease is extremely rare.

Case report:

The authors present a case of disseminated rhinosporidiosis in an immunocompetent patient with involvement of the skin, subcutaneous tissue, muscle, bone, penis and urethra, and with a long-standing primary lesion in the nose.

Discussion:

A late or atypical presentation of rhinosporidiosis may cause diagnostic dilemma. Fine needle aspiration cytology of the tumoural lesions may establish the diagnosis. Histopathology is confirmatory. The subcutaneous masses may be solid or cystic. Ulceroproliferative lesions need to be differentiated from malignancies.

Conclusion:

This is the first reported case of truly disseminated rhinosporidiosis with simultaneous involvement of multiple anatomically unrelated sites in a single patient. This is also the first reported case of cystic rhinosporidiosis. The possibility and sequelae of spontaneous regression of rhinosporidiosis are also discussed.

Keywords

RhinosporidiosisRhinosporidium seeberiSporangiaCystsSkinUrethraBonePathologyOtolaryngology
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 10 , October 2013 , pp. 1020 - 1024
Copyright
Copyright © JLO (1984) Limited 2013 

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