Mondal Surojit, Chowdhury Aniket
Department of Orthopaedics, BS Medical College, West Bengal, India.
J Orthop Surg (Hong Kong). 2013 Aug;21(2):245-8. doi: 10.1177/230949901302100227.
Rhinosporidiosis is a chronic granulomatous disease caused by Rhinosporidium seeberi. It usually occurs in the mucous membranes of nose, nasopharynx, and eyes, and less commonly in extra nasal sites such as skin, bones, genitalia, and even the internal organs. Rhinosporidiosis occurs in the wrist joint with isolated bony involvement is rare. We report one such case in a 50-year-old man who presented with a non-tender, fixed swelling over his anterolateral aspect of left forearm. Radiography and computed tomography showed a lytic destructive lesion involving the distal radius, ulna, carpals, and base of metacarpals. Biopsy revealed features of rhinosporidiosis. The patient underwent below-elbow amputation.
鼻孢子虫病是一种由西伯鼻孢子菌引起的慢性肉芽肿性疾病。它通常发生在鼻子、鼻咽部和眼睛的黏膜,较少见于鼻外部位,如皮肤、骨骼、生殖器,甚至内脏器官。鼻孢子虫病累及腕关节且仅有孤立性骨受累的情况罕见。我们报告了一例50岁男性患者,其左前臂前外侧出现无痛性、固定性肿胀。X线摄影和计算机断层扫描显示溶骨性破坏病变累及桡骨远端、尺骨、腕骨和掌骨基部。活检显示为鼻孢子虫病特征。该患者接受了肘部以下截肢手术。