Hostname: page-component-cd9895bd7-jkksz Total loading time: 0 Render date: 2024-12-28T21:45:39.813Z Has data issue: false hasContentIssue false
  • English
  • Français

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
Get access Rights & Permissions [Opens in a new window]

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 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Karunaratne, WAE. The pathology of rhinosporidiosis. J Path Bact 1934;XLII:193–202Google Scholar
2Gokhale, S, Ohri, VC, Subramanya, H, Reddy, PS, Sharma, SC. Subcutaneous and osteolytic rhinosporidiosis. Indian J Pathol Microbiol 1997;40:95–8Google ScholarPubMed
3Amritanand, R, Nithyananth, M, Cherian, VM, Venkatesh, K. Disseminated rhinosporidiosis destroying the talus: a case report. J Orthop Surg (Hong Kong) 2008;16:99–101CrossRefGoogle ScholarPubMed
4Angunawela, P, De Tissera, A, Dissanaike, AS. Rhinosporidiosis presenting with two soft tissue tumors followed by dissemination. Pathology 1999;31:57–8CrossRefGoogle ScholarPubMed
5Aravindan, KP, Viswanathan, MK, Jose, L. Rhinosporidioma of bone – a case report. Indian J Pathol Microbiol 1989;32:312–3Google ScholarPubMed
6Chatterjee, PK, Khatua, CR, Chatterjee, SN, Dastidar, N. Recurrent multiple rhinosporidiosis with osteolytic lesions in hand and foot. A case report. J Laryngol Otol 1977;91:729–34CrossRefGoogle Scholar
7Mitra, K, Maity, PK. Cutaneous rhinosporidiosis. J Indian Med Assoc 1996;94:84Google ScholarPubMed
8Kumari, R, Laxmisha, C, Thappa, DM. Disseminated cutaneous rhinosporidiosis. Dermatol Online J 2005;11:19Google ScholarPubMed
9Anoop, TM, Rajany, A, Deepa, PS, Sangamithra, P, Jayaprakash, R. Disseminated cutaneous rhinosporidiosis. J R Coll Physicians Edinb 2008;38:123–5Google Scholar
10Sarker, MM, Kibria, AKMG, Haque, MM. Disseminated subcutaneous rhinosporidiosis: a case report. The Journal of Teachers Association RMC, Rajshahi 2006;19:31–3CrossRefGoogle Scholar
11Adiga, BK, Singh, N, Arora, VK, Bhatia, A, Jain, AK. Rhinosporidiosis. Report of a case with an unusual presentation with bony involvement. Acta Cytol 1997;41:889–91CrossRefGoogle ScholarPubMed
12Makannavar, JH, Chavan, SS. Rhinosporidiosis: a clinicopathological study of 34 cases. Indian J Pathol Microbiol 2001;44:17–21Google Scholar
13Dash, A, Satpathy, S, Devi, K, Das, BP, Dash, K. Cytological diagnosis of rhinosporidiosis with skeletal involvement: a case report. Indian J Pathol Microbiol 2005;48:215–7Google ScholarPubMed
14Pal, DK, Moulik, D, Chowdhury, MK. Genitourinary rhinosporidiosis. Indian J Urol 2008;24:419–21CrossRefGoogle ScholarPubMed