TWO YEAR HOSPITAL BASED STUDY ON RHINOSPORIDIOSIS IN AND AROUND DHANBAD DISTRICT, JHARKHAND, INDIA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 22
Abstract
BACKGROUND Rhinosporidium seeberi is an organism responsible for Rhinosporidiosis. Most of the time, it will cause infection to nasal mucosa, whereas disseminated infection can also be seen in some cases. Highest incidence of Rhinosporidiosis has been reported from India and Sri Lanka. The presumed mode of infection from the natural aquatic habitat of R. seeberi is through the traumatised epithelium. Characteristically, rhinosporidium lesions in the nasal passages are polypoidal, granular, red in colour due to pronounced vascularity with a surface containing yellowish pin head-sized spots which represent underlying mature sporangia. The definitive diagnosis of rhinosporidiosis is by histopathology on biopsied tissues. MATERIALS AND METHODS We have conducted a laboratory based observational study in Patliputra Medical College Hospital (Department of Microbiology and Pathology), Dhanbad, Jharkhand, from January 2016 to December 2017. Clinical samples were collected from suspected cases of Rhinosporidiosis. All specimens were subjected to standard haematoxylin and eosin (H and E) staining. RESULTS Among the suspected cases, 18% were diagnosed as Rhinosporidiosis. We found that males were commonly infected compared to females, which were 77% and 23% respectively. Nasal obstruction was common symptoms, which were observed in 83% of patients. It was seen that 91% of patients were from rural background with agriculture and outdoor manual labour work. All the patients were having habit to take bath in pond and low education standards. CONCLUSION Rhinosporidiosis was seen in notable number from this region. That may be due to habit of taking bath in stagnant pond water. Patient education is needed to improve hygiene levels and outdoor bathing should be strictly discouraged in these populations to prevent disease.
Authors and Affiliations
Bejoy Chand Banerjee, Binay Kumar Singh, Raj Kumar Prasad, Ravi Shankar, Pramod Kumar
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