D Pal, S Maity, M Chowdhury
face, rhinosporidiosis, skin
D Pal, S Maity, M Chowdhury. Rhinosporidiosis Of The Face. The Internet Journal of Tropical Medicine. 2008 Volume 5 Number 2.
Rhinosporidiosis and its causative organism are known more than hundred years but its mode of infection and transmission is still unknown. Here we report a case of rhinosporidiosis in the face induced by trauma with successful outcome with surgery.
Rhinosporidiosis is a chronic granulomatous disease of muco- cutaneous tissue first described by Guillermo Seeberi in 1900 from Buenos Aires 1.The first case from India was reported by O’Kineay in 1903 12. Life cycle of this fungus was described by Ashworth in 1923 123. Face is one of the rare site of infection. Infection with contaminated soil through a traumatized mucosa is a strong factor in human cases45. Nowadays adequate surgery with elecrocoagulation of the base has established its roll in management of such cases 345.
A 37-year-old man from a rural background presented with a slow growing painless swelling on his left cheek for last three years. Initially it was the size of a nut, but
gradually attained the size of 4cm x 3cm (Fig.-1) within three years. Few months back before the appearance of the swelling he had a road traffic accident with abrasion in that region, which healed on application of antibiotic ointment On examination there was a large pedunculated polypoid mass on the right side of the face with nodular surface. The draining lymph nodes were just palpable. He was normoglycaemic with a normal haemogram and renal biochemical parameters. Chest x-ray was normal. Biopsy from the swelling showed the typical sporangia of varying sizes having thick walls with moderate infiltratration of lymphocytes and plasma cells with overlying hyperplastic squamous epithelium (Fig.-11). Excision of the mass with thorough electro coagulation of the base was done. There is no recurrence till one year of follow up.
Rhinosporidiosis is a chronic granulomatous condition commonly found in India and Sri-Lanka and rarely in Europe 12. Anterior nares and conjunctiva is the most common site of infection, but other rare sites are nasopharynx, larynx, maxillary antrum, skin of limbs, lachrymal sac, urethra, vagina, parotid duct, bone, vagina and rectum123. Face is a very uncommon site of rhinosporidiosis and so far to our knowledge till now no such case has been reported in the face.
Though it is a fungal disease caused by
Dr. Dilip Kumar Pal Vinayak Garden, Flat No.- A/3D 41, Simla Road, Kolkata-700006 West Bengal, INDIA Ph- 0-91-9433132553 E. mail: firstname.lastname@example.org email@example.com