FUNGAL INFECTION
Rhinosporidiosis
Causative agent:- Rhinosporidium seeberi.
Clinical features.
The disease mostly affects nose and nasopharynx; other sites such as lip, palate, conjunctiva, epiglottis, larynx, trachea, bronchi, skin, vulva, vagina may also be affected.
Rhinosporidiosis presenting as
(A) a polypoidal mass protruding through the naris.
(B) multiple sites of involvement, viz. nose, conjunctiva and tongue.
The disease is acquired through contaminated water of ponds.
In the nose, the disease presents as a leafy, polypoidal mass, pink to purple in colour and attached to nasal septum or lateral wall.
Sometimes, it extends into the nasopharynx and may hang behind the soft palate.
The mass is very vascular and bleeds easily on touch.
Its surface is studded with white dots representing the sporangia of fungus .
In early stages, the patient may complain of nasal discharge which is often blood-tinged, or nasal stuffiness.
Sometimes, frank epistaxis is the only presenting complaint.
Diagnosis:
Biopsy: It shows several sporangia, oval or round in shape and filled with spores which may be seen bursting through its chitinous wall.
Treatment:
Complete excision of the mass with diathermy knife and cauterisation of its base. Recurrence may occur after surgical excision.
Reference : PL Dhingra
Rhinosporidiosis
Causative agent:- Rhinosporidium seeberi.
Clinical features.
The disease mostly affects nose and nasopharynx; other sites such as lip, palate, conjunctiva, epiglottis, larynx, trachea, bronchi, skin, vulva, vagina may also be affected.
Rhinosporidiosis presenting as
(A) a polypoidal mass protruding through the naris.
(B) multiple sites of involvement, viz. nose, conjunctiva and tongue.
The disease is acquired through contaminated water of ponds.
In the nose, the disease presents as a leafy, polypoidal mass, pink to purple in colour and attached to nasal septum or lateral wall.
Sometimes, it extends into the nasopharynx and may hang behind the soft palate.
The mass is very vascular and bleeds easily on touch.
Its surface is studded with white dots representing the sporangia of fungus .
In early stages, the patient may complain of nasal discharge which is often blood-tinged, or nasal stuffiness.
Sometimes, frank epistaxis is the only presenting complaint.
Diagnosis:
Biopsy: It shows several sporangia, oval or round in shape and filled with spores which may be seen bursting through its chitinous wall.
Treatment:
Complete excision of the mass with diathermy knife and cauterisation of its base. Recurrence may occur after surgical excision.
Reference : PL Dhingra
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