Tracheobronchial rhinosporidiosis: an uncommon life‐threatening benign cause of airway obstruction

Abstract Rhinosporidiosis is a chronic granulomatous infectious disease caused by Mesomycetozoea Rhinosporidium seeberi. This highly recurrent polypoid lesion has a predilection for the nose and nasopharynx, although other organ systems may be affected. Involvement of the tracheobronchial tree is ve...

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Main Authors: Nirmal Kanti Sarkar, Md. Mofizur Rahman Mia, Md. Rejaul Hasan
Format: Article
Language:English
Published: Wiley 2020-10-01
Series:Respirology Case Reports
Subjects:
Online Access:https://doi.org/10.1002/rcr2.653
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author Nirmal Kanti Sarkar
Md. Mofizur Rahman Mia
Md. Rejaul Hasan
author_facet Nirmal Kanti Sarkar
Md. Mofizur Rahman Mia
Md. Rejaul Hasan
author_sort Nirmal Kanti Sarkar
collection DOAJ
description Abstract Rhinosporidiosis is a chronic granulomatous infectious disease caused by Mesomycetozoea Rhinosporidium seeberi. This highly recurrent polypoid lesion has a predilection for the nose and nasopharynx, although other organ systems may be affected. Involvement of the tracheobronchial tree is very rare, and poses a challenge for diagnosis and management. In this report, we present a 30‐year‐old man with a history of recurrent nasal polyp who presented with cough, shortness of breath, haemoptysis, and a radiological feature of right lung collapse on imaging. He was diagnosed with rhinosporidiosis based on histopathological examination of bronchoscopic biopsy specimen taken from the right principal bronchial mass. Shortly after hospitalization, he developed acute respiratory distress requiring emergency bronchoscopic intervention. A pinkish mulberry‐like tracheal and right bronchial mass was removed endoscopically with cauterization of the base of the lesion. On long‐term follow‐up, the patient was free of symptoms without recurrence of airway disease.
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spelling doaj.art-fe82689f4c5346aebbc015199a4db15d2022-12-22T02:25:34ZengWileyRespirology Case Reports2051-33802020-10-0187n/an/a10.1002/rcr2.653Tracheobronchial rhinosporidiosis: an uncommon life‐threatening benign cause of airway obstructionNirmal Kanti Sarkar0Md. Mofizur Rahman Mia1Md. Rejaul Hasan2Department of Respiratory Medicine Mugda Medical College Dhaka BangladeshDepartment of Thoracic Surgery National Institute of Diseases of the Chest and Hospital Dhaka BangladeshDepartment of Anesthesiology National Institute of Diseases of the Chest and Hospital Dhaka BangladeshAbstract Rhinosporidiosis is a chronic granulomatous infectious disease caused by Mesomycetozoea Rhinosporidium seeberi. This highly recurrent polypoid lesion has a predilection for the nose and nasopharynx, although other organ systems may be affected. Involvement of the tracheobronchial tree is very rare, and poses a challenge for diagnosis and management. In this report, we present a 30‐year‐old man with a history of recurrent nasal polyp who presented with cough, shortness of breath, haemoptysis, and a radiological feature of right lung collapse on imaging. He was diagnosed with rhinosporidiosis based on histopathological examination of bronchoscopic biopsy specimen taken from the right principal bronchial mass. Shortly after hospitalization, he developed acute respiratory distress requiring emergency bronchoscopic intervention. A pinkish mulberry‐like tracheal and right bronchial mass was removed endoscopically with cauterization of the base of the lesion. On long‐term follow‐up, the patient was free of symptoms without recurrence of airway disease.https://doi.org/10.1002/rcr2.653Bronchoscopybronchuscauterizationrhinosporidiosistrachea
spellingShingle Nirmal Kanti Sarkar
Md. Mofizur Rahman Mia
Md. Rejaul Hasan
Tracheobronchial rhinosporidiosis: an uncommon life‐threatening benign cause of airway obstruction
Respirology Case Reports
Bronchoscopy
bronchus
cauterization
rhinosporidiosis
trachea
title Tracheobronchial rhinosporidiosis: an uncommon life‐threatening benign cause of airway obstruction
title_full Tracheobronchial rhinosporidiosis: an uncommon life‐threatening benign cause of airway obstruction
title_fullStr Tracheobronchial rhinosporidiosis: an uncommon life‐threatening benign cause of airway obstruction
title_full_unstemmed Tracheobronchial rhinosporidiosis: an uncommon life‐threatening benign cause of airway obstruction
title_short Tracheobronchial rhinosporidiosis: an uncommon life‐threatening benign cause of airway obstruction
title_sort tracheobronchial rhinosporidiosis an uncommon life threatening benign cause of airway obstruction
topic Bronchoscopy
bronchus
cauterization
rhinosporidiosis
trachea
url https://doi.org/10.1002/rcr2.653
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AT mdrejaulhasan tracheobronchialrhinosporidiosisanuncommonlifethreateningbenigncauseofairwayobstruction