Management of Disseminated Rhinosporidiosis: Experience From a Single Tertiary Institution.

IF 0.7 Q4 OTORHINOLARYNGOLOGY Turkish Archives of Otorhinolaryngology Pub Date : 2024-10-23 DOI:10.4274/tao.2023.2022-9-5
Kalaiarasi Raja, Saranya Thangavel, Akshat Kushwaha, Bheemanathi Hanuman Srinivas, Rakhee Kar, Arun Alexander, Lokesh Kumar Penubarthi, Sunil Kumar Saxena
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Abstract

Objective: This study aims to present a series of patients with disseminated rhinosporidosis with diagnostic and therapeutic features.

Methods: A retrospective study was conducted in a tertiary health care centre in South India from 2007 to 2020 with disseminated rhinosporidiosis. Twelve patients with multiple sites of involvement like the nose, nasopharynx, oropharynx, larynx, lacrimal sac and skin were included in the study. All patients underwent surgical excision, followed by peroral dapsone for one year.

Results: The age group was around 30-55 years, with male predominance (11:1). Pond bathing history was present in 50% (n=6). The most common site of lesion was the nose (100%), oropharynx (83.3%), skin (75%), larynx (50%) and less commonly, nasopharynx (41.6%) and lacrimal sac (25%). One patient underwent surgery four times (8.3%), followed by thrice and twice by five (41.6%) and six (50%) patients, respectively. On two years of follow-up, two patients (16.6%) had a recurrence in the nose and larynx whereas eight patients (66.6%) had no recurrence and two patients (16.6%) were lost to follow-up.

Conclusion: This original article highlights the rare occurrence of disseminated rhinosporidiosis, the possibility of which should be kept in mind, mainly when two or more sites are involved. The most significant number of disseminated rhinosporidiosis cases in the literature is reported here. Dissemination with the cutaneous and multisite disease is rarely reported and poses difficulty in management. Early diagnosis and intervention prevent the dissemination of spores into various parts of the body.

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散发型鼻孢子虫病的治疗:一家高等院校的经验。
目的本研究旨在介绍一系列播散性鼻孢子虫病患者的诊断和治疗特点:方法:2007 年至 2020 年期间,在印度南部的一家三级医疗保健中心对散发型鼻孢子虫病患者进行了一项回顾性研究。研究纳入了 12 名鼻腔、鼻咽、口咽、喉、泪囊和皮肤等多部位受累的患者。所有患者均接受了手术切除,随后口服达哌酮一年:患者年龄在 30-55 岁之间,男性居多(11:1)。50%的患者(6 人)有池塘沐浴史。最常见的病变部位是鼻子(100%)、口咽(83.3%)、皮肤(75%)、喉(50%),鼻咽(41.6%)和泪囊(25%)较少见。一名患者接受了四次手术(8.3%),随后分别有五名(41.6%)和六名(50%)患者接受了三次和两次手术。在两年的随访中,两名患者(16.6%)在鼻腔和喉部复发,八名患者(66.6%)没有复发,两名患者(16.6%)失去了随访机会:这篇原创文章强调了播散性鼻孢子虫病的罕见性,应牢记其发生的可能性,主要是在涉及两个或两个以上部位时。本文报告了文献中数量最多的播散性鼻孢子虫病病例。皮肤病和多部位疾病的播散很少见报道,给治疗带来了困难。早期诊断和干预可防止孢子扩散到身体的各个部位。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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