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Absorption of Nasal and Bronchial Fluids: Precision Sampling of the Human Respiratory Mucosa and Laboratory Processing of Samples
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Naso-Bronchial Rhinosporidiosis

Kezevino Nagi1, Raghul Sekar2,3, Sunil Kumar Saxena1

  • 1Otorhinolaryngology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.

BMJ Case Reports
|February 10, 2022
PubMed

Insights

Rhinosporidiosis, a rare fungal infection, can affect the airways. This case report details the successful surgical removal of both nasal and endobronchial rhinosporidiosis lesions.

Area of Science:

  • Medicine
  • Infectious Diseases
  • Pulmonology

Background:

  • Rhinosporidiosis is a chronic granulomatous disease caused by *Rhinosporidium seeberi*, typically affecting mucocutaneous sites.
  • Endobronchial rhinosporidiosis is an uncommon manifestation, presenting diagnostic and therapeutic challenges.

Observation:

  • A 40-year-old male with a history of recurrent nasal rhinosporidiosis presented with nasal obstruction, cough, and dyspnea.
  • Radiological imaging revealed left lung collapse, and examination showed a recurrent nasal lesion with concurrent endobronchial involvement.

Findings:

  • The patient underwent successful surgical excision of both the nasal and endobronchial lesions under general anesthesia.
  • The procedure was performed without complications, leading to significant symptomatic improvement.

Implications:

  • This case highlights the importance of considering endobronchial rhinosporidiosis in patients with recurrent nasal disease and respiratory symptoms.
  • Successful surgical management is feasible, even in complex cases with concurrent airway involvement, emphasizing the need for careful anesthetic and surgical planning.
Keywords:
earnasal polypsnose and throat/otolaryngologyrespiratory medicinetropical medicine (infectious disease)

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