Ondzotto G
Service O.R.L. et chirurgie cervico-faciale, B.P. 32, CHU de Brazzaville, Congo.
Bull Soc Pathol Exot. 2002 Jun;95(2):78-80.
Rhinosporidiosis, granulomatosis affection due to Rhinosporidium seeberi, is rare in Africa. We report the first Congolese case observed in a 37 year old adult, who presented a tumorous formation obstructing the left nasal fossa, having developed over more than 5 years, occasionally accompanied by epistaxis. Diagnosis was made through an anatomo-pathological examination of the exeresis biopsy. The treatment essentially consisted in surgical tumorous exeresis, followed by electrocoagulation of the implantation area. Evolution has been favourable with a rebound of 7 years. In order to measure the frequency of rhinosporidiosis in Africa, anatomo-pathological examination of all O.R.L. polyps must be systematic.
鼻孢子虫病是由西伯鼻孢子菌引起的肉芽肿性疾病,在非洲较为罕见。我们报告了在一名37岁成年人中观察到的首例刚果病例,该患者出现阻塞左鼻腔的肿瘤性肿物,病程超过5年,偶尔伴有鼻出血。通过切除活检的解剖病理学检查做出诊断。治疗主要包括手术切除肿瘤,随后对植入区域进行电凝。病情进展良好,随访7年无复发。为了衡量非洲鼻孢子虫病的发病率,必须对所有耳鼻喉科息肉进行系统的解剖病理学检查。