Lacrimal sac rhinosporidiosis: a case report

Nupur K Nerurkar1, Renuka A Bradoo, Anagha A Joshi

  • 1Department of ENT, Lokmanya-Tilak Municipal General Hospital and Lokmanya Tilak Munipal Medical College, Sion, Mumbai, India. nupurkapoor@yahoo.com

Insights

Rhinosporidiosis, a rare infection caused by Rhinosporidium seeberi, typically affects the nasal passages. This case highlights an unusual isolated lacrimal sac infection in a child from India.

Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Mycology

Background:

  • Rhinosporidiosis is a chronic granulomatous disease caused by the aquatic fungus-like organism Rhinosporidium seeberi.
  • It commonly affects the nasal mucosa, but can also involve the conjunctiva, lacrimal sac, tonsils, and skin.

Observation:

  • A case study of an 8-year-old girl, a migrant from Orissa, India, presented with isolated lacrimal sac rhinosporidiosis.
  • The patient exhibited symptoms localized to the lacrimal sac, a rare presentation of the disease.

Findings:

  • The study details the clinical presentation and diagnostic process for this rare ocular manifestation of rhinosporidiosis.
  • Management strategies for lacrimal sac rhinosporidiosis are discussed, emphasizing the importance of early diagnosis and intervention.

Implications:

  • This case underscores the importance of considering rhinosporidiosis in the differential diagnosis of lacrimal sac masses, especially in endemic regions.
  • Further research into the epidemiology and treatment of ocular rhinosporidiosis is warranted to improve patient outcomes.

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