Isolated epiglottic rhinosporidiosis: a rare case report

Authors

  • Aurobinda Das Department of ENT, VIMSAR, Burla, Sambalpur, Odisha
  • Rajat Kumar Dash Department of ENT, VIMSAR, Burla, Sambalpur, Odisha
  • Kamalini Bepari Department of ENT, VIMSAR, Burla, Sambalpur, Odisha

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20204199

Keywords:

Rhinosporidiosis, Epiglottis, Isolated, Extranasal

Abstract

Rhinosporidiosis is a chronic granulomatous disease, caused by Rhinosporidium seeberi. More than 70% of cases are nasal. Usually extranasal rhinosporidiosis is associated with nasal rhinosporidiosis. Isolated extra nasal variety of laryngeal and tracheal rhinosporidiosis are very rare, 7 cases has detected till date. A 45 years male of LSES with habit of pond bath presented to ENT OPD, VIMSAR, Burla, with chief complain of intermittent blood vomiting for last 30 days, associated with foreign body sensation in throat without any dysphagia or dyspnea. On ILE, there is polypoidal pinkish mass studded with white spots found at lingual surface of epiglottis. Ant and post rhinoscopic examination found to be normal. UGIE guided biopsy shows rhinosporiodic mass. Under GA, DL had done mass was excised and base cauterised with bipolar cautery and send for HPE. HPE confirmed the diagnosis. Post operative follow up upto 10 months showed no recurrence. Epiglottic rhinosporidiosis may be one of the differential diagnosis of epiglottic growths especially in endemic zone. Laryngeal involvement of rhinosporidiosis has diagnostic and therapeutic challenges, due to the potential risk of bleeding, aspiration and recurrence.

Author Biographies

Aurobinda Das, Department of ENT, VIMSAR, Burla, Sambalpur, Odisha

Junior resident. Department of ENT, VIMSAR, BURLA

Rajat Kumar Dash, Department of ENT, VIMSAR, Burla, Sambalpur, Odisha

Senior resident. Department of ENT, VIMSAR, BURLA

Kamalini Bepari, Department of ENT, VIMSAR, Burla, Sambalpur, Odisha

Assistant professor,Department of ENT, VIMSAR, BURLA

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Published

2020-09-23

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Section

Case Reports