Dutta Sirshak, Haldar Dibakar, Dutta Mainak, Barik Sabyasachi, Das Biswas Kaustuv, Sinha Ramanuj
Department of Otorhinolaryngology and Head-Neck Surgery, Medical College and Hospital, Kolkata, 88, College Street, Kolkata, West Bengal 700073 India.
Department of Community Medicine, Bankura Sammilani Medical College and Hospital, Bankura, West Bengal India.
Indian J Otolaryngol Head Neck Surg. 2017 Mar;69(1):108-112. doi: 10.1007/s12070-016-1022-0. Epub 2016 Oct 7.
The present paper attempts to explore the socio-demographic profile of patients with rhinosporidiosis in an endemic area. A cross-sectional study was carried out in a tertiary-care hospital in Purulia district, India, including consecutive patients with histologically-proved rhinosporidiosis. Their socio-demographic profiles were obtained through a pre-designed proforma with given epidemiologic parameters. Data was statistically analyzed with inputs from literature review. Of the 39 patients included, 87 % were fresh/new cases. The age-group of 10-20 years was mostly involved, with multiple peaks around 50. About 82 % were from rural background, commonly involved in cattle farming and agriculture, with a universal habit of pond-bathing. There was a male preponderance; however women were being increasingly affected. Nasal cavity was the predominant site involved; nasal obstruction and epistaxis were the primary complaints. About 13 % had recurrent lesions that were statistically related to higher age-group (≥15 years) and occupation (agriculture, labor). Rhinosporidiosis is predominantly the disease of young rural adults engaged in field activities and habituated to pond-bathing. A bimodal age distribution was noticed. The present article provides an update on the socio-demographic perspectives of rhinosporidiosis in an endemic zone. It also summarizes the factors that would identify the vulnerable population and help formulate preventive measures.
本文旨在探讨某流行地区鼻孢子虫病患者的社会人口学特征。在印度普鲁利亚地区的一家三级护理医院开展了一项横断面研究，纳入组织学确诊为鼻孢子虫病的连续病例。通过预先设计的包含特定流行病学参数的表格获取他们的社会人口学特征。结合文献综述的数据进行统计学分析。在纳入的39例患者中，87%为新发病例。10至20岁年龄组受累最多，50岁左右有多个高峰。约82%来自农村，通常从事养牛和农业，有普遍的池塘沐浴习惯。男性占优势；然而，女性受影响的人数在增加。鼻腔是主要受累部位；鼻塞和鼻出血是主要症状。约13%有复发病变，在统计学上与较高年龄组（≥15岁）和职业（农业、体力劳动）相关。鼻孢子虫病主要是从事田间活动且习惯池塘沐浴的年轻农村成年人的疾病。观察到双峰年龄分布。本文提供了流行地区鼻孢子虫病社会人口学观点的最新情况。它还总结了可识别易感人群并有助于制定预防措施的因素。
