Lörz M, Heine M
HNO-Gemeinschaftspraxis, Bremervörde.
HNO. 2001 Oct;49(10):842-4. doi: 10.1007/s001060170034.
Due to an increasing number of non-European patients and tourists travelling in endemic aras, "exotic" mycosis and other tropical diseases must be considered in differential diagnosis. In this report we present a patient with epistaxis caused by rhinosporidiosis, an endemic disease in South India and Sri Lanka (Ceylon) and quite rare in Europe. This chronic inflammatory disease characterized by hyperplastic polypoid lesions of the mucous membrane, predominantly nasal, is caused by Rhinosporidium seeberi, a parasite with a complicated life cycle and an uncertain taxonomy. The commonest and often the presenting symptom is epistaxis. The treatment of choice is surgery with risks of recurrence.
由于前往流行地区旅行的非欧洲患者和游客数量不断增加，在鉴别诊断中必须考虑“外来”真菌病和其他热带疾病。在本报告中，我们介绍了一名因鼻孢子虫病导致鼻出血的患者，鼻孢子虫病是印度南部和斯里兰卡（锡兰）的一种地方病，在欧洲相当罕见。这种慢性炎症性疾病的特征是黏膜出现增生性息肉样病变，主要发生在鼻腔，由西氏鼻孢子虫引起，这是一种生命周期复杂且分类不确定的寄生虫。最常见且通常是首发症状是鼻出血。治疗的首选方法是手术，但存在复发风险。
