Title: A Retrospective Study of Rhinosporidiosis in Tertiary Care Hospital of Jharkhand, Dhanbad

Authors: Dr Raj Kumar Prasad, Dr Bejoy Chand Banerjee, Dr Chandra Sekhar Suman, Dr Rajani Sinha

 DOI: https://dx.doi.org/10.18535/jmscr/v7i12.67

Abstract

Introduction: Rhinosporidiosis, a granulomatous infective disease caused by Rhinosporidium seeberi usually affects the nasal cavity & nasopharynx. Disease presents as a slow growing mass which is friable, soft & polypoidal with a surface containing multiple yellowish pin head-sized spots representing underlying mature sporangia.

Materials & Methods: A retrospective study for a period of two years from January, 2017 to December,2019 was conducted which  included the cases diagnosed as rhinosporidiosis by retrieving the reports on nasal mass in pathology department of Patliputra Medical College, Dhanbad, Jharkhand. Biopsy samples were processed under standard Hematoxylin & Eosin stain& diagnosis was made by demonstration of multiple sporangia containing numerous endospores.

Results: In a total number of 41 cases studied there were more male (65.85 %) with maximum involvement of age group of 10-20 years (46.34 %) in both sexes. Agricultural workers (41.46 %) & those living in rural areas (68.29 %) associated with bathing in ponds (60.97 %) showed more disease.

Conclusion: Education of high risk persons to improve their hygiene levels & strict discouragement to outdoor bathing can prevent the disease.

Keywords: Rhinosporidiosis, Rhinosporidium seeberi, nasalmass, Hematoxylin & Eosin stain.

References

  1. Ahluwalia KB. New interpretations in rhinosporidiosis, enigmatic disease of the last nine decades. J Submicros Cytol Pathol.1992; 24:109-14.
  2. Herr RA, Ajello L, Taylor JW, Arseculeratne SN, Mendoza L. Phylogenetic analysis of Rhinosporidium seeberi’s18S small subunit ribosomal DNA groups this pathogen among members of the protoctistan Mesomycetozoaclade. J Clin Microbiol. 1999;37:2750-4.
  3. Saha A, Mukherjee M, Sirkar B. Rhinosporidiosis in three northern districts of West Bengal & two adjacent districts of Bihar-study of 116cases.J Evolution Med Dent Sci.2017;6(3):155-60.
  4. Grover S. Rhinosporidiosis. J Med Med Ass.1975;64(9):93-95.
  5. Hussein MR, Rashad UM. Rhinosporidiosis in Egypt: a case report & review of literature. Mycopathologia.2005;159:205-7
  6. Sarkar MM, Kibria AKMG, Haque MM. Disseminated subcutaneous rhinosporidiosis: a case report. TAJ.2006;19:31-3.
  7. Makannavar JH, Chavan SS. Rhinosporidiosis: a clinicopathological study of 34 cases. Indian J Pathol Microbiol.2001;44:17-21.
  8. Mahmud S, haque R, Mamun AA, Alam R, Dutta UK, et al. A clinicopathological study of rhinosporidiosis. Bangladesh J Otorhinolarngol.2015;21(2);94-6.
  9. Satyanarayana C. Rhinosporidiosis with a record of 255 cases. Acta otolaryngol.1960;51:348-66.
  10. Sengupta S, Pal S, Biswas BK, Jana S, Biswas S, Minz RS. Clinicopathological study of 273 cases of rhinosporidiosis over a period of ten years in a tertiary care institute catering predominantly rural population of tribal origin. Bangladesh J of Med Sci.2015;14(2):159-64.
  11. Bandyopadhyay SN, Jana U, Bandyopadhya G, Majhi TK, Sen S, Das S, et al. Rhinosporidiosis: various presentations & different sites. Bengal J Otolarnngol Head Neck Surg.2015;23(2):48-56
  12. Guru RK, Pradhan DK. Rhinosporidiosis with special reference to extra nasal presentation. J Evolution Med Dent Sci.2014;22(3):6189-99.
  13. Arseculeratne SN. Recent advances in rhinosporidiosis & Rhinosporidium seeberi. Indian J of Med Microbiol.2002;20(3):119-31.

Corresponding Author

Dr Bejoy Chand Banerjee

Professor, Pathology, Patliputra Medical College, Dhanbad, Jharkhand, Pin – 826005a