A rare case of disseminated rhinosporidiosis mimicking tuberculosis.

Mohamad Firdaus Ahmad, Shafora Bibi Samri, Wan Aireene Wan Ahmed, Nur Asyilla Che Jalil, Nur Asma Sapiai

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Article in IDCases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 authors.

Mohamad Firdaus AhmadDepartment of Radiology, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, Kubang Kerian, Kelantan, Malaysia.

Shafora Bibi SamriDepartment of Radiology, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, Kubang Kerian, Kelantan, Malaysia.

Wan Aireene Wan AhmedDepartment of Radiology, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, Kubang Kerian, Kelantan, Malaysia.

Nur Asyilla Che JalilHospital Universiti Sains Malaysia, Universiti Sains Malaysia, Health Campus, Jalan Raja Perempuan Zainab 2, 16150 Kota Bharu, Kelantan, Malaysia.

Nur Asma SapiaiDepartment of Radiology, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, Kubang Kerian, Kelantan, Malaysia.

Funding

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6 · The paper itself

Abstract

Rhinosporidiosis is one of the granulomatous diseases endemic in Asia, Africa, and Europe, with Southern India and Sri Lanka having the greatest prevalence rates. It is typically understood to affect the upper respiratory system. Involvement of the lungs beyond the trachea is infrequent as compared to the upper respiratory tract. We revealed an uncommon case of disseminated rhinosporidiosis in a diabetic patient, who initially presented with shortness of breath associated with cough and fever. Two months prior to these symptoms, he was having oral ulcer and dysphagia and, subsequently, loss of weight. Chest radiograph and CT thorax revealed military nodules with multiple suppurative neck and mediastinal lymphadenopathy and bilateral adrenal lesions. He was initially investigated for tuberculosis, metastatic malignancy, or lymphangitic carcinomatosis before a biopsy revealed Rhinosporidiosis. Hence, histopathological or laboratory evidence is frequently crucial to back up imaging concerns so the appropriate treatment can be given.

Indexed as

Granulomatous diseasesMilitary nodulesRhinosporidiosisTuberculosis

Identifiers

PMID38947561

DOI10.1016/j.idcr.2024.e02009

PMCPMC11214292

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