1/58. rhinosporidiosis presenting with two soft tissue tumors followed by dissemination.rhinosporidiosis is caused by rhinosporidium seeberi. Most mycologists believe that R. seeberi is either a Chytridium related to the Olpidiaceae (order Chytridialis, class Chytridiomycetes) or a Synchytrium. This is the first documented case of tumoral rhinosporidiosis in a Sri Lankan and the third documented case in the world literature. A 44 year old male presented with a large mass above the thigh and a similar mass over the anterior chest wall, both masses contained R. seeberi. Later examination of the patient revealed nasal polyps, confirming that the tumors were due to systemic spread of this infection.- - - - - - - - - - ranking = 1keywords = rhinosporidiosis (Clic here for more details about this article) |
2/58. Conjunctival rhinosporidiosis associated with scleral melting and staphyloma formation: diagnosis and management.PURPOSE: Although conjunctival rhinosporidiosis is endemic in india, associated scleral melting and staphyloma formation are quite rare. We report clinical features and management in three patients with this unusual presentation. methods: Retrospective review of case records of three patients with conjunctival rhinosporidiosis. RESULTS: infection occurred in young, healthy adults and was localized to the forniceal conjunctiva in all patients. The affected conjunctiva had numerous grey-white spherules, but a polyp-like lesion was not present in any patient. diagnosis was based on clinical features and examination of scrapings from the involved conjunctiva. Treatment was surgical, with excision of infected conjunctival tissues and staphyloma repair with homologous sclera or autogenous periosteum. Failure to recognize the conjunctival pathology in one patient resulted in recurrence of the staphyloma. CONCLUSION: Conjunctival rhinosporidiosis can be associated with scleral staphyloma in young, healthy, adults. Differentiating this entity from idiopathic scleral ectasia requires knowledge of the clinical features of conjunctival rhinosporidiosis and a high index of clinical suspicion.- - - - - - - - - - ranking = 8keywords = rhinosporidiosis (Clic here for more details about this article) |
3/58. rhinosporidiosis and peripheral keratitis.Report of a case of peripheral keratitis caused by rhinosporidium seeberi. The patient was seen in a referral practice. Corneal scraping was performed on a middle-aged female patient presenting with peripheral keratitis and progressive nasal obstruction that revealed spores suggestive of rhinosporidiosis. The patient was started on topical amphotericin b 0.15% eye drops. ear, nose, and throat (ENT) examination showed presence of a polypoid lesion in the left nostril for which a polypectomy was performed. Histopathological examination confirmed rhinosporidiosis. Complete resolution of the keratitis was observed. Topical amphotericin b is an effective drug in the management of this condition. keratitis secondary to rhinosporidial infection has not been described although occasional patients with limbal and scleral involvement have been reported. Corneal scraping was effective in helping us make a tentative diagnosis.- - - - - - - - - - ranking = 2keywords = rhinosporidiosis (Clic here for more details about this article) |
4/58. rhinosporidiosis of the parotid duct cyst: cytomorphological diagnosis of an unusual extranasal presentation.This cytology report highlights a case of rhinosporidiosis of the parotid duct cyst not associated with nasal manifestations. In an endemic area, one should be familiar with its morphologic features in fine-needle aspiration cytology even on scanty material, for it could be one of the investigations in the initial workup of a case.- - - - - - - - - - ranking = 1keywords = rhinosporidiosis (Clic here for more details about this article) |
5/58. Lid rhinosporidiosis - simulating a tumor.A case of rhinosporidiosis is described with extensive primary involvement of the lids, bulbar and palpebral conjunctiva.- - - - - - - - - - ranking = 5keywords = rhinosporidiosis (Clic here for more details about this article) |
6/58. rhinosporidiosis.A case of nasal rhinosporidiosis occurred in a 73-year-old man who has lived all his life in the united states. The lesion was treated surgically, and he remains free of disease four years later.- - - - - - - - - - ranking = 1keywords = rhinosporidiosis (Clic here for more details about this article) |
7/58. rhinosporidiosis mimicking penile malignancy.rhinosporidiosis is a chronic infection which is endemic in india and sri lanka. Penile involvement in rhinosporidiosis is rare and we report one such case. The pathology, treatment and possible etiology of the condition are reviewed.- - - - - - - - - - ranking = 1keywords = rhinosporidiosis (Clic here for more details about this article) |
8/58. Conjunctival rhinosporidiosis. Report of three cases from Zaire.The authors report three cases of conjunctival rhinosporidiosis from Zaire, two of which are believed to be the first documented in the northeastern part of the country. All patients were males. Two patients were very young children, respectively 5 and 6 years old. The third patient was a 35-year-old man. The diagnosis was based on histopathology which revealed the characteristic features of rhinosporidium seeberi. Total excision was the elective treatment. The disease recurred eleven months later in one case, probably from local dissemination of the parasite during surgery.- - - - - - - - - - ranking = 5keywords = rhinosporidiosis (Clic here for more details about this article) |
9/58. rhinosporidiosis: an unusual cause of nasal masses gains prominence.INTRODUCTION: rhinosporidiosis is a rare cause of nasal masses locally, with only two cases reported over a 35-year period. methods: Four patients with rhinosporidiosis, all from the Indian subcontinent, were managed at our tertiary referral centre over a recent five-year period. They presented with nasal masses and the diagnosis was confirmed by histological examination. RESULTS: All patients were treated by local excision of the nasal masses, and two also received dapsone therapy after surgery. During follow-up, local recurrence was found in two patients, one of whom had received dapsone. CONCLUSION: With a significant number of foreign workers from endemic regions, this uncommon disease may be observed more frequently in the future. It is thus important to consider the diagnosis of rhinosporidiosis in patients from endemic regions presenting with nasal masses. The mainstay of treatment should be wide surgical excision.- - - - - - - - - - ranking = 2keywords = rhinosporidiosis (Clic here for more details about this article) |
10/58. Conjunctival rhinosporidiosis.Conjunctival rhinosporidiosis is usually a surprise diagnosis in histological section of an excised conjunctival mass. The condition is rarely encountered outside the endemic coastal areas of South india. Accurate diagnosis of this rare condition is infrequent in clinical practice; tumour, neoplasm, papilloma being the common misdiagnoses. Herein, a report of a case of an 18-year-old otherwise healthy male who attended outpatient department of Regional Institute of ophthalmology, Medical College, Kolkata with a red fleshy papillomatous growth about 7 mm x 4 mm in size, in the palpebral conjunctiva just behind the intermarginal strip of his right upper lid. His routine blood examination was within normal limits. The growth was excised under local anaesthesia and histopathological examination revealed rhinosporidiosis. There was no recurrence of the growth within one month of follow-up.- - - - - - - - - - ranking = 6keywords = rhinosporidiosis (Clic here for more details about this article) |
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