Pradhan Pradeep, Samal Swagatika
All India Institute of Medical Sciences, Department of ENT and Head Neck Surgery, Bhubaneswar, Odisha, India.
All India Institute of Medical Sciences, Department of Pathology, Bhubaneswar, Odisha, India.
Autops Case Rep. 2021 Jan 28;11:e2020214. doi: 10.4322/acr.2020.214.
Rhinosporidiosis is a chronic infection of the mucous membrane caused by the , which infects through transepithelial penetration. Although described worldwide, this entity is mostly found in the western hemisphere, afflicting young people, predominantly males, associated in many cases with recreational or professional contact with bath in ponds, rivers, or stagnant waters. The clinical features are varied depending on the affected membrane, in some cases mimicking other diseases postponing the correct diagnosis. Although nasal obstruction and epistaxis are the common clinical presentations in sinonasal rhinosporidiosis, patients with epiphora without a nasal mass often challenge the diagnosis. In the present case, we have documented a case of isolated lacrimal sac rhinosporidiosis masquerading as chronic dacryocystitis, which was successfully managed by endoscopic excision, accompanied by a literature review.
鼻孢子虫病是由 引起的一种黏膜慢性感染，通过经上皮穿透进行感染。尽管在全球范围内都有相关描述，但该疾病主要见于西半球，影响年轻人，以男性为主，在许多情况下与在池塘、河流或死水处进行娱乐或专业洗浴接触有关。临床特征因受累黏膜不同而各异，在某些情况下会模仿其他疾病，从而延误正确诊断。虽然鼻塞和鼻出血是鼻鼻窦鼻孢子虫病的常见临床表现，但无鼻肿物的溢泪患者常常给诊断带来挑战。在本病例中，我们记录了一例伪装成慢性泪囊炎的孤立性泪囊鼻孢子虫病病例，该病例通过内镜切除成功治愈，并伴有文献综述。
