1/4. rhinosporidiosis presenting as recurrent nasal polyps.rhinosporidiosis is a chronic granulomatous disease of the mucous membrane, predominantly of the nose and nasopharynx. It is uncommon in malaysia but has been seen in immigrant workers from endemic areas like india and sri lanka. A case seen in Johor is reported here to highlight the need of awareness among clinicians at a time where there is increasing numbers of immigrant workers in our country. The causative organism of this disease is rhinosporidium seeberi, which is found in stagnant waters. sporangia and endospores of R. seeberi are seen in the granulomatous polypoidal lesions. The patients commonly present with epistaxis and nasal blockage. Complete excision is the treatment of choice for this disease. Recurrences are common despite anti-microbial treatment.- - - - - - - - - - ranking = 1keywords = granulomatous disease (Clic here for more details about this article) |
2/4. Orbital rhinosporidiosis.Rhinospordiosis, a chronic granulomatous disease of the mucocutaneous tissue, is endemic in india and other parts of South East asia. It commonly affects the upper respiratory tract, but involvement of other sites has also been reported. A 27-year-old male patient reported with features simulating severe obital cellulitis underwent emergency managemt for his systemic problems. Subsequent CT scan and histopathological examination confirmed the diagnosis of rhinoporidiois. Definitive surgical treatment was done to remove the suspected papillomatous mass which led to marked improvement of the patient.- - - - - - - - - - ranking = 1keywords = granulomatous disease (Clic here for more details about this article) |
3/4. Disseminated rhinosporidiosis - an unusual presentation with pulmonary involvement.BACKGROUND AND AIM: rhinosporidiosis is a chronic granulomatous disease that commonly affects the nasal and nasopharyngeal mucosa. It rarely presents as disseminated disease. CASE REPORT: We describe a rare case of a patient who had undergone treatment for recurrent nasal rhinosporidiosis and who presented with multiple subcutaneous swellings and pulmonary lesions.- - - - - - - - - - ranking = 1keywords = granulomatous disease (Clic here for more details about this article) |
4/4. Metastatic rhinosporidioma in a child.rhinosporidiosis is a chronic granulomatous disease caused by rhinosporidium seeberi. It commonly affects nasal mucosa and conjunctiva. Subcutaneous disease is unusual and it is often mistaken for soft-tissue sarcoma. Such tumoral rhinosporidiosis has never been reported in children. This report describes, for the first time, an 11-year-old girl who presented with nasal polyp and multiple metastatic swellings of rhinosporidial origin. Fine-needle aspiration cytology and histopathology were diagnostic. Surgical excision, followed by dapsone therapy, was found to be useful.- - - - - - - - - - ranking = 1keywords = granulomatous disease (Clic here for more details about this article) |