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J Orthop Surg (Hong Kong) ; 21(2): 245-8, 2013 Aug.
Article in English | MEDLINE | ID: mdl-24014794

ABSTRACT

Rhinosporidiosis is a chronic granulomatous disease caused by Rhinosporidium seeberi. It usually occurs in the mucous membranes of nose, nasopharynx, and eyes, and less commonly in extra nasal sites such as skin, bones, genitalia, and even the internal organs. Rhinosporidiosis occurs in the wrist joint with isolated bony involvement is rare. We report one such case in a 50-year-old man who presented with a non-tender, fixed swelling over his anterolateral aspect of left forearm. Radiography and computed tomography showed a lytic destructive lesion involving the distal radius, ulna, carpals, and base of metacarpals. Biopsy revealed features of rhinosporidiosis. The patient underwent below-elbow amputation.


Subject(s)
Rhinosporidiosis/diagnosis , Rhinosporidiosis/surgery , Rhinosporidium , Wrist Joint/parasitology , Amputation, Surgical , Animals , Carpal Bones/diagnostic imaging , Carpal Bones/parasitology , Carpal Bones/surgery , Humans , Male , Metacarpal Bones/diagnostic imaging , Metacarpal Bones/parasitology , Metacarpal Bones/surgery , Middle Aged , Radiography , Radius/diagnostic imaging , Radius/parasitology , Radius/surgery , Ulna/diagnostic imaging , Ulna/parasitology , Ulna/surgery , Wrist Joint/diagnostic imaging , Wrist Joint/surgery
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