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Ocular rhinosporidiosis: a case report from Delhi
Neelam Sood1, M C Agarwal, Harish C Gugnani
1Department of Pathology, Deen Dayal Upadhyayay Hospital (DDUH), Delhi, India. neesu1234@hotmail.com
Abstract:
Rhinosporidiosis caused by Rhinosporidium seeberii, a protistal microorganism, is endemic in several parts of India. Infection involves mucous membranes of the nose and paranasal sinuses and usually manifests as vascular friable polyps. A few cases of rhinosporidoisis have been reported from Delhi, in patients who were migrants from other states. The present case constitutes the first report of rhinosporidiosis in a Delhi resident; the lesion occurred as polypoidal mass of the palpebral conjunctiva.
Insights
Rhinosporidiosis, a nasal infection caused by Rhinosporidium seeberii, is common in India. This report details the first case in a Delhi resident, presenting as an eye lesion rather than the typical nasal polyps.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Mycology
Background:
- Rhinosporidiosis is a chronic granulomatous disease caused by the protist Rhinosporidium seeberii.
- It is endemic in India and affects mucous membranes, commonly the nasal cavity, presenting as vascular polyps.
- Previous cases in Delhi involved migrants, suggesting limited local transmission or diagnosis.
Observation:
- This report documents the first case of rhinosporidiosis in a native Delhi resident.
- The patient presented with a polypoidal mass on the palpebral conjunctiva (eyelid).
- This presentation differs from the typical nasal and sinus involvement.
Findings:
- Confirms Rhinosporidium seeberii as the causative agent.
- Highlights an unusual ocular manifestation of rhinosporidiosis.
- Establishes a case within a previously unreported demographic (native Delhi resident).
Implications:
- Suggests rhinosporidiosis may occur in non-migrant populations in Delhi.
- Broadens the spectrum of clinical presentations for rhinosporidiosis, including ocular involvement.
- Emphasizes the need for increased awareness among clinicians in endemic and non-endemic areas for early diagnosis and treatment.
