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Lacrimal sac rhinosporidiosis
Pradipta Kumar Parida1, Saranya Thangavel2, Kalaiarasi Raja3
1ENT & Head Neck Surgery, AIIMS Bhubaneswar, Bhubaneswar, India.
Abstract:
Rhinosporidiosis is a chronic mucocutaneous granulomatous disease caused by Rhinosporidium seeberi, involving primarily the nose and nasopharynx. Very rarely, the disease can affect the lacrimal sac. Here we report a 35-year-old male patient who had rhinosporidial involvement of the nose 5 years ago, for which he underwent endoscopic nasal surgery. Five years after the excision of the nasal mass, he presented with lacrimal sac involvement. The clinical presentation and the management of lacrimal sac rhinosporidiosis are discussed here.
Insights
Rhinosporidiosis, a chronic nasal disease caused by Rhinosporidium seeberi, can rarely affect the lacrimal sac. This case highlights a patient with delayed lacrimal sac involvement after initial nasal surgery.
Area of Science:
- Otolaryngology
- Ophthalmology
- Infectious Diseases
Background:
- Rhinosporidiosis is a chronic granulomatous infection primarily affecting the nasal and nasopharyngeal mucosa.
- Caused by the aquatic fungus-like organism Rhinosporidium seeberi.
- Ocular and adnexal involvement is exceptionally rare.
Observation:
- A 35-year-old male presented with symptoms of lacrimal sac involvement.
- The patient had a history of nasal rhinosporidiosis treated with endoscopic nasal surgery five years prior.
- This case represents a rare instance of secondary lacrimal sac rhinosporidiosis.
Findings:
- The patient exhibited clinical signs consistent with dacryocystitis.
- Diagnostic evaluation confirmed Rhinosporidium seeberi in the lacrimal sac.
- The findings underscore the potential for delayed recurrence or spread of rhinosporidiosis to adjacent structures.
Implications:
- This case emphasizes the importance of considering rhinosporidiosis in the differential diagnosis of lacrimal sac masses, even after prior nasal treatment.
- Early recognition and appropriate management are crucial to prevent complications.
- Further research into the pathogenesis and long-term surveillance of rhinosporidiosis is warranted.
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