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Rhinosporidiosis of trachea: a clinical cause for concern

Published online by Cambridge University Press:  08 March 2017

R Arora ,
R Gupta  and
Amit Kumar Dinda
R Arora
Affiliation:
Department of Pathology, All India Institute of Medical Sciences, New Delhi, India
R Gupta*
Affiliation:
Department of Pathology, All India Institute of Medical Sciences, New Delhi, India
Amit Kumar Dinda
Affiliation:
Department of Pathology, All India Institute of Medical Sciences, New Delhi, India
*
Address for correspondence: Dr Ruchika Gupta, 162 Pocket B, Sarita Vihar, New Delhi 110076, India. E-mail: ruchika257@yahoo.com
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Abstract

Background:

Rhinosporidiosis is a granulomatous infection usually affecting the nasal mucosa and conjunctiva. The disease is widely prevalent in India and Sri Lanka. Tracheo-bronchial involvement is extremely rare and is potentially life threatening. Diagnosis of tracheal involvement is a challenge due to the risk of bleeding during attempted bronchoscopic biopsy.

Case:

A 73-year-old man was admitted with severe respiratory distress, for which emergency tracheostomy was performed. At tracheostomy, a fleshy mass was seen emerging from the wound. Pathological examination of the mass confirmed rhinosporidiosis involving the trachea. Complete excision of the mass was performed after initial stabilisation of the patient.

Conclusion:

Tracheo-bronchial rhinosporidiosis, a rare complication of nasopharyngeal infection, should be considered in a known case presenting with severe respiratory distress.

Keywords

RhinosporidiosisTracheaAirway Obstruction
Type
Online Only Clinical Record
Information
The Journal of Laryngology & Otology , Volume 122 , Issue 4 , April 2008 , e13
Copyright
Copyright © JLO (1984) Limited 2008

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