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Orbital rhinosporidiosis
Soumen Chakraborty1, Asim Chakrabarti, Subhalakshmi Mukhopadhyay
1Department of Ophthalmology, RG Kar Medical College and Hospital, Kolkata.
Abstract:
Rhinospordiosis, a chronic granulomatous disease of the mucocutaneous tissue, is endemic in India and other parts of South East Asia. It commonly affects the upper respiratory tract, but involvement of other sites has also been reported. A 27-year-old male patient reported with features simulating severe obital cellulitis underwent emergency managemt for his systemic problems. Subsequent CT scan and histopathological examination confirmed the diagnosis of rhinoporidiois. Definitive surgical treatment was done to remove the suspected papillomatous mass which led to marked improvement of the patient.
Insights
Rhinospordiosis, a fungal infection, can mimic orbital cellulitis. Surgical removal of the mass led to significant patient improvement, highlighting effective treatment for this rare disease.
Area of Science:
- Mycology
- Infectious Diseases
- Ophthalmology
Background:
- Rhinospordiosis is a chronic granulomatous disease affecting mucocutaneous tissues, endemic in South East Asia.
- While typically involving the upper respiratory tract, extranasal manifestations are documented.
Observation:
- A 27-year-old male presented with symptoms resembling severe orbital cellulitis.
- Emergency management was initiated for his systemic condition.
Findings:
- CT scan and histopathology confirmed rhinospordiosis.
- A papillomatous mass was identified as the suspected cause.
Implications:
- Surgical excision of the mass resulted in marked clinical improvement.
- This case underscores the importance of considering rhinospordiosis in orbital inflammatory conditions.
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