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Generalized Rhinosporidiosis with Visceral Involvement: Report of a Case

Generalized Rhinosporidiosis with Visceral Involvement: Report of a Case Abstract Rhinosporidiosis, a chronic granulomatous infection due to Rhinosporidium seeberi, is reported to be endemic to India. It frequently involves the nasal passages, and infection at other sites, like ocular tissues, lip, urethra, larynx, rectum, and skin, although rare, has been reported. Generalized involvement of the skin is extremely uncommon. In such cases the spread of infection is thought to be due to autoinfection, caused by scratching the skin by fingers contaminated from the primary site. In a review of the available literature, we could come across only one case of generalized rhinosporidiosis due to hematogenous dissemination, producing visceral involvement.8 We are reporting the second case of this nature because of its extreme rarity. Besides the generalized involvement of the skin, this case showed involvement of tongue, larynx, epiglottis, ocular tissues, liver, lungs, kidney, and spleen. Report of Case A Hindu man, aged 30 References 1. Allen, A. C.: The Skin: A Clinicopathologic Treatise , S. Louis, The C. V. Mosby Company, 1954, p. 494. 2. Allen, F. R., and Dave, M.: The Treatment of Rhinosporidiosis in Man: Based on the Study of 60 Cases , Indian M. Gaz. 71:376-393, 1936. 3. Castellani, A., and Chalmers, A. J.: Manual of Tropical Medicine , London, Bailliere, Tindall & Cox, 1919, pp. 533, 1578. 4. Dhayagude, R. G.: Unusual Rhinosporidial Infection in Man , Indian M. Gaz. 76:513-515, 1941. 5. Forsyth, W. L.: Rhinosporidium Kinealyi , Lancet 1:951, 1924. 6. Karunaratne, W. A. E.: The Pathology of Rhinosporidiosis Infection , J. Path. & Bact. 42: 193-202, 1936. 7. Purandare, N. M., and Deoras, S. M.: Rhinosporidiosis in Bombay , Indian J. M. Sc. 7: 603-610, 1953. 8. Rajam, R. V.; Viswanathan, G. S.; Rao, A. R.; Rangiah, P. N., and Anguli, V. C.: Rhinosporidiosis: A Study with Report of a Fatal Case of Systemic Dissemination , Indian J. Surg. 17:269-298, 1955. 9. Simons, R. D. G. Ph.: Handbook of Tropical Dermatology and Medical Mycology , Amsterdam, Elsevier Press, Inc., 1954, p. 378. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Dermatology American Medical Association

Generalized Rhinosporidiosis with Visceral Involvement: Report of a Case

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Publisher
American Medical Association
Copyright
Copyright © 1959 American Medical Association. All Rights Reserved.
ISSN
0096-5359
DOI
10.1001/archderm.1959.01560190024003
Publisher site
See Article on Publisher Site

Abstract

Abstract Rhinosporidiosis, a chronic granulomatous infection due to Rhinosporidium seeberi, is reported to be endemic to India. It frequently involves the nasal passages, and infection at other sites, like ocular tissues, lip, urethra, larynx, rectum, and skin, although rare, has been reported. Generalized involvement of the skin is extremely uncommon. In such cases the spread of infection is thought to be due to autoinfection, caused by scratching the skin by fingers contaminated from the primary site. In a review of the available literature, we could come across only one case of generalized rhinosporidiosis due to hematogenous dissemination, producing visceral involvement.8 We are reporting the second case of this nature because of its extreme rarity. Besides the generalized involvement of the skin, this case showed involvement of tongue, larynx, epiglottis, ocular tissues, liver, lungs, kidney, and spleen. Report of Case A Hindu man, aged 30 References 1. Allen, A. C.: The Skin: A Clinicopathologic Treatise , S. Louis, The C. V. Mosby Company, 1954, p. 494. 2. Allen, F. R., and Dave, M.: The Treatment of Rhinosporidiosis in Man: Based on the Study of 60 Cases , Indian M. Gaz. 71:376-393, 1936. 3. Castellani, A., and Chalmers, A. J.: Manual of Tropical Medicine , London, Bailliere, Tindall & Cox, 1919, pp. 533, 1578. 4. Dhayagude, R. G.: Unusual Rhinosporidial Infection in Man , Indian M. Gaz. 76:513-515, 1941. 5. Forsyth, W. L.: Rhinosporidium Kinealyi , Lancet 1:951, 1924. 6. Karunaratne, W. A. E.: The Pathology of Rhinosporidiosis Infection , J. Path. & Bact. 42: 193-202, 1936. 7. Purandare, N. M., and Deoras, S. M.: Rhinosporidiosis in Bombay , Indian J. M. Sc. 7: 603-610, 1953. 8. Rajam, R. V.; Viswanathan, G. S.; Rao, A. R.; Rangiah, P. N., and Anguli, V. C.: Rhinosporidiosis: A Study with Report of a Fatal Case of Systemic Dissemination , Indian J. Surg. 17:269-298, 1955. 9. Simons, R. D. G. Ph.: Handbook of Tropical Dermatology and Medical Mycology , Amsterdam, Elsevier Press, Inc., 1954, p. 378.

Journal

A.M.A. Archives of DermatologyAmerican Medical Association

Published: Jul 1, 1959

References