DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20181382

Clinical profile of rhinosporidiosis in a tertiary care center of an endemic area

Suneer R., Sivasankari L.

Abstract


Background: Rhinosporidiosis is a chronic granulomatous inflammation caused by Rhinosporidium seeberi. It is water borne disease endemic in Kanyakumari district of South India. The objective of the study was to study the clinical profile of rhinosporidiosis in an endemic area of Kanyakumari district

Methods: This is a prospective study of 50 surgically treated cases of rhinosporidiosis carried out in the department of ENT, Kanyakumari Government Medical College from January 2016 to December 2017. All were diagnosed on clinical basis and were treated by excision and electrocautery of the base. The specimens were sent for histopathological examination.  

Results: The cases in this study were in the age group between 6 to 70 years. Of these 38 were males and 12 were females indicating a male preponderance. The main presenting symptom was epistaxis in about 80% cases. Nose is the common site involved. Extra nasal spread is common in recurrent cases.

Conclusions: The study reflects the endemicity of this disease in Kanyakumari district of Tamil Nadu. High incidence is noted in those bathing in ponds. Extra nasal spread is common in recurrent cases and raising health awareness will go a long way in decreasing its incidence.

 


Keywords


Rhinosporidiosis, Epistaxis, Recurrence

Full Text:

PDF

References


Arseculeratne SN. Recent advances in Rhinosporidiosis and Rhinosporidium seeberi. Indian J Med Microbiol. 2002;20:13-9.

Karunarafne WAE. The Pathology of Rhinosporidiosis. J Path Bact. 1934;42:193–202.

Jaen S. Aetiology and Incidence of Rhinosporidiosis. Indian J Otorhinol. 1967;21(1):1-21.

David SS. Nasal Rhinosporidiosis. J Indian Med Assoc. 1969;62:301-6.

Karunaratne WAE. Rhinosporidiosis in man. London: Altolone press; 1964.

Rajam RV, Viswanathan GC. Rhinosporidiosis; A study with a report of a fatal case with systemic dissemination. Indian J Surg. 1955;17:269-98.

Manonmony S, Renjit RE, Philip JT, Raj AR. Rhinosporidiosis: Analysis of cases presenting to a Tertiary Care Hospital in Rural Kerala. Int J Biomed Res. 2015;6(6):416-20.

Guru RK. Rhinosporidiosis with special reference to Extra nasal presentation. J Evolution Med Dental Sec. 2014;3:22.

Mandal PK. Disseminated cutaneous Rhinosporidiosis, a Tumor like lesion with Therapeutic challenge, a case report. Inaman J Pathol. 2014;9:4.

Kannan Kutty M, Sreedharah T, Mathew KT. Some observation on Rhinosporidiosis. Am J Med Sec. 1963;256:695-701.

Dube, Veliath GD. Rhinosporidiosis in Mangalore. J Indian Medical Assoc. 1964;42:58-63.

Das BC. Rhinosporidiosis. Indian J Otol. 1964;26:79-84.

Makannavar JH, Chavan S. Rhinosporidiosis- a clinicopathologic study of 34 cases. Indian J Pathol Microbial. 2001;44(1):12-21.

Ahmed NA, Mohammed S, Raj G. Rhinosporidiosis: an epidemiological study. J Evol Med Dent Sci. 2013;2(38):7227-33.

Kalyani S, Uma R. Case study of Rhinosporidiosis in tertiary care centre. Medpulse. Int Med J. 2016;3(2):231-4.

Chritravel V, Sundaran BM, Subramanian S, Kumaresan M, Kunjithapatham K. Mycopatholgia. 1990;109:11-2.

Shrestha SP, Henning A, Parija SC. Prevalence of Rhinosporidiosis. Indian J Dermatol Venereol Lepro 2007;13(3):185–7.

Kumari R, Nath AK, Rajalaxmi R, Adityan B, Thappe DM. Disseminated cutaneous rhinosporidiosis; varied morphological appearances on the skin. Indian J Dermatol Venerol Leprol. 2009;75(1):68–71.

Nayak S, Acharya B, Devi B, Sahors A, Singh N. Disseminated cutaneous rhinosporidiosis. Indian J Dermal Venerol Leprol. 2009;75(1):68-71.