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Rhinosporidiosis of the lacrimal sac masquerading as chronic dacryocystitis: a rare presentation

Authors
  • Pradhan, Pradeep1
  • Samal, Swagatika2
  • 1 All India Institute of Medical Sciences, Department of ENT and Head Neck Surgery, Bhubaneswar, Odisha, India
  • 2 All India Institute of Medical Sciences, Department of Pathology, Bhubaneswar, Odisha, India
Type
Published Article
Journal
Autopsy & Case Reports
Publisher
Hospital Universitário da Universidade de São Paulo
Publication Date
Jan 20, 2021
Volume
11
Identifiers
DOI: 10.4322/acr.2020.214
PMID: 33968816
PMCID: PMC8020589
Source
PubMed Central
Keywords
Disciplines
  • Clinical Case Report and Review
License
Unknown

Abstract

Rhinosporidiosis is a chronic infection of the mucous membrane caused by the Rhinosporiduim seeberi , 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.

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