Nasal rhinosporidiosis: differential diagnosis of fungal sinusitis and inverted papilloma
Introduction: Clinical case report of rhinosporidiosis, a rare and chronic granulomatous disease, caused by Rhinosporidium seeberi. Objective: To include this disease in the differential diagnoses of polypoid lesions of the nasal mass. Report: A male patient from the North of Brazil evolved a three-...
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2009-03-01
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| Series: | International Archives of Otorhinolaryngology |
| Subjects: | |
| Online Access: | http://www.arquivosdeorl.org.br/conteudo/acervo_eng.asp?Id=595 |
| _version_ | 1819058459495104512 |
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| author | Crosara, Paulo Fernando Tormin Borges Becker, Celso Gonçalves Freitas, Vinicius Antunes Nunes, Flávio Barbosa Becker, Helena Maria Gonçalves Guimarães, Roberto Eustáquio Santos |
| author_facet | Crosara, Paulo Fernando Tormin Borges Becker, Celso Gonçalves Freitas, Vinicius Antunes Nunes, Flávio Barbosa Becker, Helena Maria Gonçalves Guimarães, Roberto Eustáquio Santos |
| author_sort | Crosara, Paulo Fernando Tormin Borges |
| collection | DOAJ |
| description | Introduction: Clinical case report of rhinosporidiosis, a rare and chronic granulomatous disease, caused by Rhinosporidium seeberi. Objective: To include this disease in the differential diagnoses of polypoid lesions of the nasal mass. Report: A male patient from the North of Brazil evolved a three-year papilomatous polypoid lesion of the left nasal cavity. He was submitted to sinusectomy with resection of the entire lesion, located in ethmoid bulla and uncinated process. Inverted papilloma or fungal sinusitis were differential diagnoses. The histopathological examination revealed a strong infestation by numerous fungal structures with sporangia shape full of sporangiospores. The microorganisms were positive for colorations of Grocott, PAS and Mayer's Mucicarmin; opposite from Coccidioides immitis, which presents no contrast by the mucicarmin. We didn't choose complimentary treatment and after one year of follow-up he presents with no sign of recurrence. Final Comments: Rhinosporidiosis must be considered to be a nasal polypoid lesion differential diagnosis. In the intranasal lesions diagnosis we should keep in mind the patient's origin. The anatomopathological study is mandatory to set the diagnosis. In the rhinosporidiosis, the surgical exeresis can be a curative treatment. |
| first_indexed | 2024-12-21T13:55:32Z |
| format | Article |
| id | doaj.art-bc7394b4bd4249359da98666348151ee |
| institution | Directory Open Access Journal |
| issn | 1809-9777 1809-4864 |
| language | English |
| last_indexed | 2024-12-21T13:55:32Z |
| publishDate | 2009-03-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | International Archives of Otorhinolaryngology |
| spelling | doaj.art-bc7394b4bd4249359da98666348151ee2022-12-21T19:01:33ZengThieme Revinter Publicações Ltda.International Archives of Otorhinolaryngology1809-97771809-48642009-03-011319395Nasal rhinosporidiosis: differential diagnosis of fungal sinusitis and inverted papillomaCrosara, Paulo Fernando Tormin BorgesBecker, Celso GonçalvesFreitas, Vinicius AntunesNunes, Flávio BarbosaBecker, Helena Maria GonçalvesGuimarães, Roberto Eustáquio SantosIntroduction: Clinical case report of rhinosporidiosis, a rare and chronic granulomatous disease, caused by Rhinosporidium seeberi. Objective: To include this disease in the differential diagnoses of polypoid lesions of the nasal mass. Report: A male patient from the North of Brazil evolved a three-year papilomatous polypoid lesion of the left nasal cavity. He was submitted to sinusectomy with resection of the entire lesion, located in ethmoid bulla and uncinated process. Inverted papilloma or fungal sinusitis were differential diagnoses. The histopathological examination revealed a strong infestation by numerous fungal structures with sporangia shape full of sporangiospores. The microorganisms were positive for colorations of Grocott, PAS and Mayer's Mucicarmin; opposite from Coccidioides immitis, which presents no contrast by the mucicarmin. We didn't choose complimentary treatment and after one year of follow-up he presents with no sign of recurrence. Final Comments: Rhinosporidiosis must be considered to be a nasal polypoid lesion differential diagnosis. In the intranasal lesions diagnosis we should keep in mind the patient's origin. The anatomopathological study is mandatory to set the diagnosis. In the rhinosporidiosis, the surgical exeresis can be a curative treatment.http://www.arquivosdeorl.org.br/conteudo/acervo_eng.asp?Id=595NasalRhinosporidiosisFungalSinusitisInverted papilloma |
| spellingShingle | Crosara, Paulo Fernando Tormin Borges Becker, Celso Gonçalves Freitas, Vinicius Antunes Nunes, Flávio Barbosa Becker, Helena Maria Gonçalves Guimarães, Roberto Eustáquio Santos Nasal rhinosporidiosis: differential diagnosis of fungal sinusitis and inverted papilloma International Archives of Otorhinolaryngology Nasal Rhinosporidiosis Fungal Sinusitis Inverted papilloma |
| title | Nasal rhinosporidiosis: differential diagnosis of fungal sinusitis and inverted papilloma |
| title_full | Nasal rhinosporidiosis: differential diagnosis of fungal sinusitis and inverted papilloma |
| title_fullStr | Nasal rhinosporidiosis: differential diagnosis of fungal sinusitis and inverted papilloma |
| title_full_unstemmed | Nasal rhinosporidiosis: differential diagnosis of fungal sinusitis and inverted papilloma |
| title_short | Nasal rhinosporidiosis: differential diagnosis of fungal sinusitis and inverted papilloma |
| title_sort | nasal rhinosporidiosis differential diagnosis of fungal sinusitis and inverted papilloma |
| topic | Nasal Rhinosporidiosis Fungal Sinusitis Inverted papilloma |
| url | http://www.arquivosdeorl.org.br/conteudo/acervo_eng.asp?Id=595 |
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