Isolated epiglottic rhinosporidiosis: a rare case report


  • 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



Rhinosporidiosis, Epiglottis, Isolated, Extranasal


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


Watkinson JC, Clarke RW. Scott Brown’s Otorhinolaryngology Head Neck Surgery. 8th ed. Florida: CRC Press; 2018:215-6.

Herr RA, Ajello L, Taylor JW, Arseculeratne SN, Mendoza L. Phylogenetic analysis of Rhinosporidium seeberi 18S small-subunit ribosomal DNA groups this pathogen among members of the protoctistan Mesomycetozoa clade. Journal of Clinical Microbiology. 1999;37:2750-4.

Arsecularatne SN, Ajello L. Rhinosporidium seeberi. In: Ajello L, Hay RJ, eds. microbiology and microbial infections. 4th ed. London: Arnold; 1998: 67-73.

Shina A, Phukan JP, Bandhyopadhyag G, Sengupta S, Bose K, Mondal RK, et al. Clinico pathological study of Rhinosporidiosis. Journal of Cytology. 2012;29(4):246-9.

Dhingra PL, Dhigra S. Cholesteatoma and chronic suppurative otitis media. In: Diseases of the ear, nose and throat. 5th ed. Amsterdam: Elsevier; 2014:174.

Pal S, Chakravarti S, Das PC. Cytodiagnosis of extranasal rhinosporidiosis. J Lab Physicians. 2014; 6(2):80-3.

Daharwal A, Banjara H, Singh D, Gupta A, Singh S. Laryngeal rhinosporidiosis. Journal of Laryngology & Voice. 2011;1(1):30-2.

Madan J, Yolmo D, Gopalkrishnan S, Saxena SK. Rhinosporidiosis of upper airway and trachea. J Laryngol Oto. 2010;124:1139-41.

Mahmud S, Haque R, Almamun A, Alam R. A clinico pathological study of Rhinosporidiosis. Bangladesh Journal of Otorhinolaryngology. 2015; 21(2):94-6.

Pillai OS. Rhinsporidiosis of the larynx. J Laryngo Otol. 1974;(3):277-80.

Kumar S, Mathew J, Cherian V, Rozario R, Kurien M. Laryngeal Rhinosporidiosis:Report of a rare case. Ear, nose & throat Journal. 2004;83(8):568-70.

Banarjee SB, Sarkar A, Mukherjee S, Bhowmik A. Laryngeal rhinosporidiosis. J India Med Asso. 1996;94(4):148-50.

Mathew JS, Padhy S, Lata S, Balachander H, Gopalakrishnan S. Case report: Tele-laryngoscopy-guided flexible fiberoptic intubation for laryngeal rhinosporidiosis. Anesth analog. 2010;110(4):1066-8.

Rath R, Baig S, Debata T. Rhinosporidiosis presenting as an oropharyngeal mass:A clinical predicament. J Nat Sci Bio Med. 2015;6(1):241-5.

Tresley J, Saraf EL, Sargi Z. Epiglottic masses identified on CT imaging. Neuroradiol J. 2015;28(3):247-53.






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