Rhinosporidiosis B48.10

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

blastomycosis rhinosporidiotica; Granuloma rhinosporidiosoque; nasal psorospermosis (Localisee); Seeber's disease

History
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Seeber, 1900

Definition
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Granulomatous infectious disease of the mucous membranes, particularly the nasopharynx, oropharynx, conjunctiva, rectum and external genitalia, caused by Rhinosporidium seeberi, an aquatic protozoon

Pathogen
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Rhinosporidium seeberi. The germ could not be cultivated in cultures or inoculated in experimental animals.

Occurrence/Epidemiology
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Occurs mainly in tropical and subtropical areas. Sporadically distributed worldwide.

Etiopathogenesis
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The mode of infection is still unclear, probably a transmission of the spores when bathing in fresh water.

Manifestation
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Mostly occurring in men.

Localization
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Mainly nose (posterior sections, 70%), also conjunctiva (14%), throat, palate, bronchus, larynx, genital organs.

Clinical features
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Irregularly shaped, brittle, greyish red, slow-growing, broad-based, polyp-like, slightly bleeding growths with small, yellowish-grey spots on the surface (sporangia). Disseminated forms are possible.

Histology
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Granulomatous inflammation with neutrophils, histiocytes, plasma cells, microabscesses, giant cells of the Langerhans type. Numerous round cysts surrounded by a lattice shell with numerous nuclei = sporangia (100-400um in diameter) of Rhinosporidium seeberi filled with thawing endospores.

Diagnosis
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Swab specimen. Microscopic examination.

Differential diagnosis
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Therapy
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Electrocaustic, surgical removal far in the healthy area. All drug therapies are ineffective so far.

Literature
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  1. Arseculeratne SN et al (2002) Lymphadenitis, trans-epidermal elimination and unusual histopathology in human rhinosporidiosis. Mycopathologia 153: 57-69
  2. Delfino D et al (2016) Rhinosporidium seeberi Nuclear Cycle Activities Using Confocal Microscopy.
    J Parasitol 102:60-68.
  3. Fredricks DN et al. (2000) Rhinosporidium seeberi: a human pathogen from a novel group of aquatic protistan parasites. Emerg Infect Dis 6: 273-282
  4. Mr RA (1999) Phylogenetic analysis of Rhinosporidium seeberi's 18S small-subunit ribosomal DNA groups this pathogen among members of the protoctistan Mesomycetozoa clade. J Clin Microbiol 37: 2750-2754
  5. Lorz M, Heine M (2001) Rhinosporidiosis. A rare cause of nosebleed. HNO 49: 842-844
  6. Makannavar JH et al (2001) Rhinosporidiosis--a clinicopathological study of 34 cases. Indian J Pathol Microbiol 44: 17-21
  7. Seeber G (1900) Un nuevo esporozuario parasito del hombre: dos casos encontrados en polipos nasales. Thesis, Universidad Nacional de Buenos Aires

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Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020