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卡尼亚库马里区一家三级护理中心鼻孢子虫病的病因、临床特征及疾病复发预测因素

Etiology, Clinical Profile and Factors Predicting Disease Recurrence of Rhinosporidiosis in a Tertiary Care Centre in Kanyakumari District.

作者信息

Babu Dayana, Joy Lyra, Sebastian Austin, Chethan Kumar G, Noorjihan B K, Rajadurai V Deepak

机构信息

Department of ENT, Sree Mookambika Medical College, Kulashekaram, Kanyakumari, India.

Department of Surgery, Santosh Medical College, Ghaziabad, UP India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2024 Dec;76(6):5104-5107. doi: 10.1007/s12070-024-04822-5. Epub 2024 Aug 9.

DOI:10.1007/s12070-024-04822-5
PMID:39559075
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11569376/
Abstract

Rhinosporidiosis is a chronic granulomatous disease caused by Rhinosporidium seeberi, typically involving nasal cavity and nasopharynx. They usually present with epistaxis, nasal obstruction, anosmia, and headache. In India, it is endemic in coastal areas of Orissa, Tamil Nadu, Kerala, Karnataka and Pondicherry states. This is a descriptive study conducted in department of otorhinolaryngology in a tertiary care centre, Kanyakumari for a period of one year and 3 months from April 2022 to June 2023.This series include 30 subjects with clinically and histopathologically confirmed cases of Rhinosporidiosis. Our aim of this study was to analyse the epidemiological parameters, clinical features and factors predicting disease recurrence of rhinosporidiosis. A total of 30 cases were treated over a period of one year and 3 months from April 2022 to March 2023. In our study the most common age group was between 36 and 45 years (30%) followed by age group between 26 and 35(20%). Out of 30 patients 26 patients had history of bathing in pond (86%). Recurrence was seen in 6 patients (20%) over a follow up period of one year. Rhinosporidiosis is endemic and possess a great health care burden in Kanyakumari district. The socioeconomic status, outdoor bathing and lack of awareness in rural areas are the major factors contributing to the disease burden Early detection, treatment, regular follow up, and public health education curtail the incidence of rhinosporidiosis.

摘要

鼻孢子虫病是一种由西伯鼻孢子虫引起的慢性肉芽肿性疾病,通常累及鼻腔和鼻咽部。患者通常表现为鼻出血、鼻塞、嗅觉减退和头痛。在印度,奥里萨邦、泰米尔纳德邦、喀拉拉邦、卡纳塔克邦和本地治里邦的沿海地区为该病的流行地区。这是一项在三级医疗中心坎亚库马里的耳鼻喉科进行的描述性研究,研究时间为2022年4月至2023年6月,为期一年零3个月。该系列包括30例经临床和组织病理学确诊的鼻孢子虫病病例。本研究的目的是分析鼻孢子虫病的流行病学参数、临床特征以及预测疾病复发的因素。在2022年4月至2023年3月的一年零3个月时间里,共治疗了30例病例。在我们的研究中,最常见的年龄组是36至45岁(30%),其次是26至35岁年龄组(20%)。30例患者中,26例有在池塘洗澡的历史(86%)。在一年的随访期内,6例患者(20%)出现复发。鼻孢子虫病在坎亚库马里地区为地方病,给医疗保健带来了巨大负担。社会经济地位、户外洗澡以及农村地区缺乏认识是造成疾病负担的主要因素。早期发现、治疗、定期随访和公共卫生教育可减少鼻孢子虫病的发病率。

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本文引用的文献

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Atypical presentations of rhinosporidiosis: a clinical dilemma?鼻孢子虫病的非典型表现:临床难题?
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