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Right arrow Trachea and bronchi

J Thorac Cardiovasc Surg 2006;132:718-719
© 2006 The American Association for Thoracic Surgery

Brief Communication

Tracheal rhinosporidiosis

Parameswari Rekha, MDa, Beena Thomas, MDa, Joseph M. Pappachan, MDb,*, Kummannu P. Venugopal, MDa, Thanathu K. Jayakumar, MS, MChc, Parackal Sukumaran, MDa

a Department of Chest Diseases, Kottayam Medical College, Kerala, India
b Department of Internal Medicine, Kottayam Medical College, Kerala, India
c Department of Thoracic and Cardiovascular Surgery, Kottayam Medical College, Kerala, India

Received for publication April 19, 2006; accepted for publication May 17, 2006.

* Address for reprints: M. J. Pappachan, MD, Department of Internal Medicine, Kottayam Medical College, Kerala, South India 686008 (Email: drpappachan@yahoo.co.in).

The first 20% of the full text of this article appears below.

Rhinosporidiosis is a granulomatous disease that usually affects the nasal mucosa and ocular conjunctiva. The disease is widely prevalent in the tropics, especially in southern India and Sri Lanka,1Go and is caused by Rhinosporidium seeberi, a protistal microbe belonging to the newly described class Mesomycetozoea at the animal-fungus boundary.2Go Involvement of the tracheobronchial tree is extremely rare, and such involvement poses many diagnostic and therapeutic challenges. We report a case of tracheal rhinosporidiosis that presented with stridor.

Clinical Summary

A 48-year-old man was admitted for evaluation of breathlessness and stridor of 4 months' duration. He had undergone operations in 1977, 1994, and 2001 for excision of nasopharyngeal rhinosporidiosis. He did not have any history of pulmonary tuberculosis, allergic diathesis, or occupational exposure to dusts or organic matter causing airway disease. Physical examination revealed a loud stridor and bilateral inspiratory wheeze. The results of ear, nose, and throat examinations were normal.

The results of his blood examination and chest radiograph were normal. Spirometry revealed . . . [Full Text of this Article]




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[Abstract] [Full Text] [PDF]


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