Scholarlink

<p>Despite knowing the disease for over a century, it is still an enigmatic disease, continues to challenge medical science&#xa0;from taxonomy to treatment, caused by Rhinosporidium seeberi, affecting both humans and animals, which is now classified as a part of the DRIP clade. Chhattisgharh is an endemic region&#xa0;for rhinosporidiosis in central India;&#xa0;This&#xa0;disease tends to&#xa0;recur&#xa0;frequently post-surgical excision due to endospore spillage&#xa0;and persistent exposure to&#xa0;predisposing factors. This retrospective study (2015–2024) explored recurrence patterns in 44 patients across urban and rural Chhattisgarh, focusing on etiology, anatomical sites, frequency, and effective management strategies in a tertiary care setting. Recurrence was predominantly affecting young male adults aged 11–30 years with a history of pond bathing. the disease most commonly recurred in the nasal cavity, particularly the inferior turbinate and meatus, followed by the septum. Nasal obstruction was the primary symptom in 36% of cases, surpassing nasal mass. Standard treatment comprised wide local excision with cauterization, augmented by dapsone therapy. Aggressive surgical techniques, including mucoperichondrial resection and minimal tissue manipulation, emerged as critical for preventing recurrence. Preoperative dapsone therapy proved safe, inhibiting microbial growth and reducing postoperative recurrence. Regular follow-up endoscopy for cauterizing suspicious lesions, coupled with patient education on avoiding predisposing factors like pond bathing, was vital for sustained management. This study underscores the chronic nature of rhinosporidiosis and the necessity of a multifaceted approach to minimize recurrence and enhance patient outcomes.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Recurrent Rhinosporidiosis Our Experience: Over a Decade

  • 期刊论文

  • 发表日期：

    2025年6月17日

查看全文
  • M. Mohan Raj,
  • Ashwin Ashok Jaiswal,
  • Neeta Sharma,
  • Prachi Mene,
  • Girish Umredkar,
  • Sweta Verma,
  • Praveer Kumar Banerjee,
  • Amrish Kumar Garg,
  • Ravindranath Membally

摘要

Despite knowing the disease for over a century, it is still an enigmatic disease, continues to challenge medical science from taxonomy to treatment, caused by Rhinosporidium seeberi, affecting both humans and animals, which is now classified as a part of the DRIP clade. Chhattisgharh is an endemic region for rhinosporidiosis in central India; This disease tends to recur frequently post-surgical excision due to endospore spillage and persistent exposure to predisposing factors. This retrospective study (2015–2024) explored recurrence patterns in 44 patients across urban and rural Chhattisgarh, focusing on etiology, anatomical sites, frequency, and effective management strategies in a tertiary care setting. Recurrence was predominantly affecting young male adults aged 11–30 years with a history of pond bathing. the disease most commonly recurred in the nasal cavity, particularly the inferior turbinate and meatus, followed by the septum. Nasal obstruction was the primary symptom in 36% of cases, surpassing nasal mass. Standard treatment comprised wide local excision with cauterization, augmented by dapsone therapy. Aggressive surgical techniques, including mucoperichondrial resection and minimal tissue manipulation, emerged as critical for preventing recurrence. Preoperative dapsone therapy proved safe, inhibiting microbial growth and reducing postoperative recurrence. Regular follow-up endoscopy for cauterizing suspicious lesions, coupled with patient education on avoiding predisposing factors like pond bathing, was vital for sustained management. This study underscores the chronic nature of rhinosporidiosis and the necessity of a multifaceted approach to minimize recurrence and enhance patient outcomes.