Histopathologically Confirmed Nasal Rhinosporidiosis in an Adolescent Male Presenting with Long-Standing Right-Sided Nasal Obstruction and Epistaxis: A Case Report.
Fahma Aden Mohamed, Abdishakur Mohamed Karim, Geoffrey Tabu
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Case in brief
A 17-year-old male presented with a five-year history of right-sided nasal obstruction and recurrent epistaxis, with a nasal mass that eventually protruded through the nostril. Imaging revealed a soft-tissue lesion in the nasal cavity, which was excised. Histopathology confirmed nasal rhinosporidiosis, showing sporangia at the resection margin. Postoperatively, he was treated with dapsone and showed no recurrence at three months.
Diagnostic / clinical pearl
Nasal rhinosporidiosis should be considered in patients with unilateral nasal obstruction and epistaxis, especially with a history of exposure to pond water.
Why it matters
This case highlights the importance of histopathological examination for definitive diagnosis and the need for careful postoperative monitoring when histological margins are involved.