Department of Anesthesiology and Critical Care, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India.
Anesth Analg. 2010 Apr 1;110(4):1066-8. doi: 10.1213/ANE.0b013e3181d2a4f2. Epub 2010 Feb 8.
Rhinosporidiosis is a chronic granulomatous disease endemic in India and Sri Lanka. The causative microorganism, Rhinosporidium seeberi, remains a poorly understood pathogen, which has been described as an aquatic protistan parasite. Rhinosporidiosis presents as multiple polypoidal lesions affecting the mucosa of the nasal cavity, nasopharynx, and oropharynx. Intralaryngeal rhinosporidiosis is a rare entity and poses a challenge for management of the airway. In this case report, we highlight our technique in the management of the airway in a case of laryngeal rhinosporidiosis using a combination of fiberoptic bronchoscope and an endoscope. The technique was atraumatic and also avoided the potential for autoinoculation, which is a frequent cause of recurrence of this disease.
类鼻疽是一种在印度和斯里兰卡流行的慢性肉芽肿性疾病。其病原体类鼻疽伯克霍尔德菌是一种了解甚少的病原体，被描述为水生原生动物寄生虫。类鼻疽表现为多发性息肉样病变，影响鼻腔、鼻咽和口咽的粘膜。喉类鼻疽是一种罕见的实体，对气道的管理构成挑战。在本病例报告中，我们使用纤维支气管镜和内窥镜联合的方法，重点介绍了我们在喉类鼻疽气道管理中的技术。该技术是无创伤性的，也避免了疾病复发的常见原因——自体接种的可能性。
