Mukhopadhyay Somnath, Shome Subrata, Bar Prasenjit Kumar, Chakrabarti Amit, Mazumdar Swati, De Avisek, Sadhukhan Kaushik, Bala Bivas
Department of Ophthalmology, Malda Medical College and Hospital, Malda, West Bengal, India,
Int Ophthalmol. 2015 Oct;35(5):705-7. doi: 10.1007/s10792-012-9625-2. Epub 2012 Sep 18.
Rhinosporidiosis, a granulomatous disease caused by Rhinosporidium seeberi, is widely prevalent in Sri Lanka and southern parts of India. Besides the eye, the lacrimal passage and nasal cavity are affected. The most common ocular involvement is a subconjunctival bleeding mass. Our case, a 9-year-old girl from a rural background with a history of pond water bathing, presented with a marginal chalazion involving the left lower lid. She had a history of chalazion involving the same site three months earlier which was managed by incision and curettage. A decision of surgical exploration was made and the evacuated mass was examined histologically showing evidence of rhinosporidiosis. This type of clinical presentation for ocular rhinosporidiosis (as recurrent chalazion) has not been reported earlier in the literature. This case emphasises that the clinicians from this part of the world must consider ocular rhinosporidiosis as differential diagnosis in cases with recurrent chalazion especially in a rural background with a habit of pond water bathing.
鼻孢子虫病是一种由西伯鼻孢子菌引起的肉芽肿性疾病，在斯里兰卡和印度南部广泛流行。除眼睛外，泪道和鼻腔也会受到影响。最常见的眼部受累表现为结膜下出血性肿块。我们的病例是一名来自农村、有池塘水浴史的9岁女孩，表现为累及左下睑的睑缘霰粒肿。她三个月前曾有过同一部位的霰粒肿病史，当时通过切开刮除术进行了治疗。于是决定进行手术探查，对排出的肿块进行组织学检查，结果显示有鼻孢子虫病的迹象。眼部鼻孢子虫病的这种临床表现（如复发性霰粒肿）在文献中此前未见报道。该病例强调，世界上这一地区的临床医生在遇到复发性霰粒肿的病例时，尤其是在有池塘水浴习惯的农村背景下，必须将眼部鼻孢子虫病作为鉴别诊断的考虑因素。
