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The app is regularly updated to align with the latest NEET PG exam patterns and includes new questions as per evolving trends in medical entrance exams.

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RHINOSPORIDIOSIS

RHINOSPORIDIOSIS

Rhinosporidiosis is a chronic granulomatous infection of the mucous membranes.
Manifests as vascular friable polyps that arise from the nasal mucosa or external structures of the eye.
It is endemic in India and Sri Lanka.

CAUSE OF RHINOSPORIDIOSIS

The etiologic agent is R seeberi.
Rhinosporidium seeberi is an aquatic bacterium (not a fungus).
Recent RNA gene analysis has placed R seeberi into a novel group of aquatic parasites of the class Mesomycetozoea.
Most persons with rhinosporidiosis have had bathing or working exposure to stagnant water.

Although traditionally regarded as a fungus, it is now considered a protistan parasite belonging to the class Mesomycetozoea.

CLINICAL FEATURES

Rhinosporidiosis is an infection that is typically limited to the mucosal epithelium.
Sex: Men are affected more commonly than women, with a male-to-female ratio of 4:1.Age:The disease most commonly occurs in children and in individuals aged 15-40 years.
- Infection of the nose and nasopharynx is observed in 70% of persons with rhinosporidiosis.
- Infection of the palpebral conjunctivae or associated structures (including the lacrimal apparatus) is observed in 15%.
Nasal disease may present with unilateral nasal obstruction or epistaxis.

Other symptoms may include :

local pruritus, coryza with sneezing, rhinorrhea, and postnasal discharge (drip) with cough.
- Patients often report a sensation that a foreign body is present in their nasal canal.
- Eye involvement is initially asymptomatic.
- Increased tearing may be reported as the disease progresses.
- Photophobia, redness, and secondary infection may occur.

Soft polyps may develop on the nose or eye.

These polyps are pink to deep red, are sessile or pedunculated, and are often described as strawberrylike in appearance.
This appearance results from sporangia, which is visible as gray or yellow spots in the vascular polypoid masses.
Because the polyps of rhinosporidiosis are vascular and friable, they bleed easily upon manipulation.

TREATMENT

Rhinosporidiosis is treated with surgical excision.C
Complete excision of mass is done with diathermy knife & cauterization of base.
Dapsone has been tried with some success.

Exam Important

Rhinosporidiosis presents as a nasal polypoidal mass.
Rhinosporidiosis presnts as a fungal granuloma.
The etiologic agent of rhinosporidiosis, R seeberi, has traditionally been considered a fungus.
Recent RNA gene analysis has placed R seeberi into a novel group of aquatic parasites .
Surgery is the treatment in a case of Rhinosporidiosis.

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RHINOSPORIDIOSIS