Rhinosporidiosis.
Rhinosporidiosis is chronic granulomatous parasitic infection caused by Rhinosporidium seeberi. The organism is now classified under mesomycetozoa as a parasite. It predominantly affects mucous membrane of nose and nasopharynx but other sites are also involved. It is non-contagious sporadic disease which is notorious for its high rate of recurrence and vascularity. We report a 32 years old Indian male who presented in outpatient department of Rafha Central Hospital with complaint of recurrent epistaxis, intermittent left nasal obstruction and pedunculated fragile mass coming out from left nostril after forceful blowing of nose. Diagnosis was established by histopathology of partially excised lesion with high index of suspicion for rhinosporidiosis due to strawberry-like appearance of fragile polypoidal mass. The treatment involved total surgical excision of the lesion with electrocoagulation of the base using rigid nasal endoscope. This case is reported due to its rarity and high recurrence after surgical excision.
Department of ENT, Rafha Central Hospital, North Zone, Saudi Arabia. drayub1@yahoo.com
Ayub-ur-Rehman
Muhammad Noor
MN
Muhammad
Fadi Adnan
FA
Moallam
D000328:Adult; D000818:Animals; D001706:Biopsy; D004564:Electrocoagulation / Q000379:methods; D004724:Endoscopy; D004844:Epistaxis / Q000209:etiology; D006801:Humans; D008297:Male; D009296:Nasal Cavity / Q000473:pathology; D015508:Nasal Obstruction / Q000209:etiology / Q000601:surgery; D009298:Nasal Polyps / Q000150:complications / Q000601:surgery*; D012227:Rhinosporidiosis / Q000150:complications / Q000175:diagnosis* / Q000469:parasitology / Q000601:surgery; D012228:Rhinosporidium / Q000302:isolation & purification*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome