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Rhinosporidiosis of the upper airways and trachea

  • J Madana (a1), D Yolmo (a1), S Gopalakrishnan (a1) and S Kumar Saxena (a1)

Abstract

Objective:

We report an extremely rare case of rhinosporidiosis with involvement of both larynx and trachea, together with coexisting nasal, nasopharyngeal and oropharyngeal lesions, in a 32-year-old man.

Method:

Case report and review of the world literature concerning laryngotracheal and disseminated rhinosporidiosis.

Results:

A 32-year-old, South Indian man presented with a nasal mass of four years' duration, with progressive hoarseness for one year. Strawberry-like rhinosporidial masses were seen in both nasal cavities. Fibre-optic laryngoscopic examination revealed reddish masses with whitish surface specks, involving the glottis, subglottis and trachea. Computed tomography revealed soft tissue opacities involving both nasal cavities and the nasopharynx and extending to the oropharynx, with involvement of the larynx and trachea. Direct laryngoscopy and rigid bronchoscopy guided excision of the laryngeal and tracheal lesions was performed.

Conclusion:

Rhinosporidiosis is a chronic, granulomatous disease which usually affects the mucous membranes of the nose and nasopharynx. Lower dissemination into the trachea is extremely rare. Laryngotracheal involvement poses many diagnostic and therapeutic challenges, due to the potential risk of bleeding and aspiration. In the presented case, local spread of rhinosporidiosis, due to direct spillage of spores from the nasopharynx into the larynx during episodes of bleeding or previous surgery, may have resulted in laryngotracheal involvement, although systemic spread cannot be excluded.

Copyright

Corresponding author

Address for correspondence: Dr J Madana, No. 22, Roja Street, Annai Theresa Nagar, Saram, Pondicherry 605013, India. E-mail: maddyy@gmail.com

References

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1Kumari, R, Nath, AK, Rajalakshmi, R, Adityan, B, Thappa, DM. Disseminated cutaneous rhinosporidiosis: varied morphological appearances on the skin. Indian J Dermatol Venereol Leprol 2009;75:6871
2Adiga, BK, Singh, N, Arora, VK, Bhatia, A, Jain, AK. Rhinosporidiosis. Report of a case with an unusual presentation with bony involvement. Acta Cytol 1997;41:889–91
3Rekha, P, Thomas, B, Pappachan, JM, Venugopal, KP, Jayakumar, TK, Sukumaran, P. Tracheal rhinosporidiosis. J Thorac Cardiovasc Surg 2006;132:718–19
4Raveenthiran, V. Metastatic rhinosporidioma in a child. J Pediatr Surg 2006;41:853–5
5Arseculeratne, SN. Rhinosporidiosis: what is the cause? Curr Opin Infect Dis 2005;18:113–18
6Pang, KR, Wu, JJ, Lupi, O, Tyring, SK. Tropical dermatology: fungal tropical diseases. J Am Acad Dermatol 2004;50(suppl 1):109
7Kumar, S, Mathew, J, Cherian, V, Rozario, R, Kurien, M. Laryngeal rhinosporidiosis: report of a rare case. Ear Nose Throat J 2004;83:568–70
8Loh, KS, Chong, SM, Pang, YT, Soh, K. Rhinosporidiosis: differential diagnosis of a large nasal mass. Otolaryngol Head Neck Surg 2001;124:121–2
9Nath, Ak, Madana, J, Yolmo, D, D'Souza, M. Disseminated rhinosporidiosis with unusual involvement of the nail apparatus. Clin Exp Dermatol 2009;34:e886–8 10.1111/j.1365-2230.2009.03655.x.
10Pillai, OS. Rhinosporidiosis of the larynx. J Laryngol Otol 1974;88:277–80

Keywords

Rhinosporidiosis of the upper airways and trachea

  • J Madana (a1), D Yolmo (a1), S Gopalakrishnan (a1) and S Kumar Saxena (a1)

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