Management of Disseminated Rhinosporidiosis: Experience From a Single Tertiary Institution
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 w...
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| Format: | Article |
| Language: | English |
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Galenos Yayincilik
2024-06-01
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| Series: | Turkish Archives of Otorhinolaryngology |
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| Online Access: | https://www.turkarchotolaryngol.net/articles/management-of-disseminated-rhinosporidiosis-experience-from-a-single-tertiary-institution/doi/tao.2023.2022-9-5 |
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| author | Kalaiarasi Raja Saranya Thangavel Akshat Kushwaha Bheemanathi Hanuman Srinivas Rakhee Kar Arun Alexander Lokesh Kumar Penubarthi Sunil Kumar Saxena |
| author_facet | Kalaiarasi Raja Saranya Thangavel Akshat Kushwaha Bheemanathi Hanuman Srinivas Rakhee Kar Arun Alexander Lokesh Kumar Penubarthi Sunil Kumar Saxena |
| author_sort | Kalaiarasi Raja |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-25aa3e33748d4e1bb657eb4fd4ee9cfd |
| institution | Kabale University |
| issn | 2667-7474 |
| language | English |
| publishDate | 2024-06-01 |
| publisher | Galenos Yayincilik |
| record_format | Article |
| series | Turkish Archives of Otorhinolaryngology |
| spelling | doaj-art-25aa3e33748d4e1bb657eb4fd4ee9cfd2024-11-08T10:32:44ZengGalenos YayincilikTurkish Archives of Otorhinolaryngology2667-74742024-06-01622667110.4274/tao.2023.2022-9-5Management of Disseminated Rhinosporidiosis: Experience From a Single Tertiary InstitutionKalaiarasi Raja0https://orcid.org/0000-0002-0378-4141Saranya Thangavel1https://orcid.org/0000-0001-6954-1364Akshat Kushwaha2https://orcid.org/0000-0003-1693-9330Bheemanathi Hanuman Srinivas3https://orcid.org/0000-0002-9619-6719Rakhee Kar4https://orcid.org/0000-0001-6041-1512Arun Alexander5https://orcid.org/0000-0003-1026-4678Lokesh Kumar Penubarthi6https://orcid.org/0000-0003-1007-7776Sunil Kumar Saxena7https://orcid.org/0000-0003-1119-6072Department of Otorhinolaryngology, Jawaharlal Institute of Post Graduate Medical Education and Research (JIPMER), Pondicherry, IndiaDepartment of Otorhinolaryngology, Pondicherry Institute of Medical Sciences, Pondicherry, IndiaDepartment of Otorhinolaryngology, Jawaharlal Institute of Post Graduate Medical Education and Research (JIPMER), Pondicherry, IndiaDepartment of Pathology, Jawaharlal Institute of Post Graduate Medical Education and Research (JIPMER), Pondicherry, IndiaDepartment of Pathology, Jawaharlal Institute of Post Graduate Medical Education and Research (JIPMER), Pondicherry, IndiaDepartment of Otorhinolaryngology, Jawaharlal Institute of Post Graduate Medical Education and Research (JIPMER), Pondicherry, IndiaDepartment of Otorhinolaryngology, Jawaharlal Institute of Post Graduate Medical Education and Research (JIPMER), Pondicherry, IndiaDepartment of Otorhinolaryngology, Jawaharlal Institute of Post Graduate Medical Education and Research (JIPMER), Pondicherry, IndiaObjective: 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.https://www.turkarchotolaryngol.net/articles/management-of-disseminated-rhinosporidiosis-experience-from-a-single-tertiary-institution/doi/tao.2023.2022-9-5rhinosporidiosisdisseminated infectionscutaneous manifestationsnasopharyngeal diseasesdisease managementtertiary care centersotolaryngology |
| spellingShingle | Kalaiarasi Raja Saranya Thangavel Akshat Kushwaha Bheemanathi Hanuman Srinivas Rakhee Kar Arun Alexander Lokesh Kumar Penubarthi Sunil Kumar Saxena Management of Disseminated Rhinosporidiosis: Experience From a Single Tertiary Institution Turkish Archives of Otorhinolaryngology rhinosporidiosis disseminated infections cutaneous manifestations nasopharyngeal diseases disease management tertiary care centers otolaryngology |
| title | Management of Disseminated Rhinosporidiosis: Experience From a Single Tertiary Institution |
| title_full | Management of Disseminated Rhinosporidiosis: Experience From a Single Tertiary Institution |
| title_fullStr | Management of Disseminated Rhinosporidiosis: Experience From a Single Tertiary Institution |
| title_full_unstemmed | Management of Disseminated Rhinosporidiosis: Experience From a Single Tertiary Institution |
| title_short | Management of Disseminated Rhinosporidiosis: Experience From a Single Tertiary Institution |
| title_sort | management of disseminated rhinosporidiosis experience from a single tertiary institution |
| topic | rhinosporidiosis disseminated infections cutaneous manifestations nasopharyngeal diseases disease management tertiary care centers otolaryngology |
| url | https://www.turkarchotolaryngol.net/articles/management-of-disseminated-rhinosporidiosis-experience-from-a-single-tertiary-institution/doi/tao.2023.2022-9-5 |
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