Uledi Sefu, Fauzia Ayubu
Department of Surgery, Mzuzu Central Hospital, Malawi.
Pan Afr Med J. 2011;9:27. doi: 10.4314/pamj.v9i1.71203. Epub 2011 Jul 18.
Rhinosporidiosis is a rare chronic granulomatous disease, characterised by polypous lesions of the mucous membrane. Commonly affects the mucous membrane of the naso-pharynx, conjunctiva and palate. Its causative agent is Rhinosporidium seeberi. The disease is more prevalent in the Indian subcontinent, but remains quite rare in our environment. We hereby present a case description of a 70 year old native Malawian male with a polypoid nasal rhinosporidiosis. Patient presented with long standing history of nasal obstruction and intermittent epistaxis for three years. Diagnosis was confirmed by histopathological examination and he was successfully treated by complete surgical excision. This was a very unusual cause of nasal masses in our setting. Nasal rhinosporidioss lesions may largely mimic other ordinary nasal polyps, it is crucial therefore for clinicians in our region to consider rhinosporidiosis as a differential diagnosis when assessing patients presenting with nasal swellings.
鼻孢子虫病是一种罕见的慢性肉芽肿性疾病，其特征为黏膜的息肉样病变。通常累及鼻咽、结膜和腭部的黏膜。其病原体是西伯鼻孢子菌。该病在印度次大陆更为流行，但在我们所处的环境中仍然相当罕见。我们在此介绍一例70岁的马拉维本地男性患息肉样鼻孢子虫病的病例。患者有三年的长期鼻塞和间歇性鼻出血病史。通过组织病理学检查确诊，经完全手术切除成功治愈。在我们当地，这是鼻肿物非常不寻常的病因。鼻孢子虫病病变很大程度上可能类似其他普通鼻息肉，因此对于我们地区的临床医生而言，在评估有鼻肿胀的患者时，将鼻孢子虫病作为鉴别诊断至关重要。
