Abstract
Rhinosporidiosis is a chronic granulomatous infectious disease caused by rhinosporidium seeberi that usually affects the nasal mucosa and ocular conjunctiva. Involvement of trachea ad bronchial tree is extremely rare. Few cases (8) have been reported in literature. We report a case of tracheal rhinosporidiosis that presented with stridor and haemoptysis with past history of surgery for recurrent rhinosporidiosis of nose and nasopharynx. Complete endoscopic excision and cauterization of base was done under general anaesthesia. No recurrent was observed for last 9 months of follow up. Tracheo-bronchial involvement by rhinosporidiosis should be suspected when a known case of rhinosporidiosis involving uper respiratory tract presents with respiratory distress and/or haempostysis. DOI: http://dx.doi.org/10.3329/bjo.v20i1.22016 Bangladesh J Otorhinolaryngol; April 2014; 20(1): 39-42
Highlights
Rhinosporidiosis is a chronic granulomatous infectious disease that usually affects the nasal mucosa and ocular conjunctiva
One study reported that rigid bronchos copy combined with wide tracheostomy incision made the removal of tracheal rhinosporidiosis mass easier and complete.[4]
Rhinosporidiosis in trachea could be secondary to implantation of spores from previous surgeries for nasal and nasopharyngeal rhinosporidiosis
Summary
Rhinosporidiosis is a chronic granulomatous infectious disease that usually affects the nasal mucosa and ocular conjunctiva. 1. Medical Officer, Department of Otolaryngology Head & Neck Surgery, BSMMU, Dhaka, Bangladesh. 2. Professor, Department of Otolaryngology Head & Neck Surgery, BSMMU, Dhaka, Bangladesh. 3. Associate Professor, Department of Otolaryngology Head & Neck Surgery, BSMMU, Dhaka, Bangladesh. 4. Consultant, Department of Otolaryngology Head & Neck Surgery, BSMMU, Dhaka, Bangladesh. Bangladesh J Otorhinolaryngol and 2010 for excision of nasopharyngeal rhinosporidiosis His physical examination revealed a loud stridor and a bilateral respiratory wheeze. Fibre-optic laryngoscopic examination revealed a reddish, fleshy mass attached with left antero-lateral wall of trachea with occluding the lumen of trachea. Fig-1: FOL revealed pinkish fleshy mass of rhinosporidiosis attached with tracheal wall and occluding the lumen of trachea. Fig-2: View after complete excision and during cauterization of base of rhinosporidiosis
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