Ocular rhinosporidiosis mimicking conjunctival squamous papilloma in Kenya - a case report.

Stephen Gichuhi; Timothy Onyuma; Ephantus Macharia; Joy Kabiru; Alain M'bongo Zindamoyen; Mandeep S Sagoo; Matthew J Burton ORCID logo; (2014) Ocular rhinosporidiosis mimicking conjunctival squamous papilloma in Kenya - a case report. BMC ophthalmology, 14 (1). 45-. ISSN 1471-2415 DOI: 10.1186/1471-2415-14-45
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BACKGROUND: Ocular rhinosporidiosis is a chronic granulomatous infection caused by a newly classified organism that is neither a fungus nor bacterium. It often presents as a benign conjunctival tumour but may mimic other ocular conditions. It is most often described in India. In Africa cases have been reported from South Africa, Kenya, Tanzania, Malawi, Uganda, Congo and Ivory Coast. CASE PRESENTATION: A 54 year old man was seen in Kenya with a lesion that resembled a conjunctival papilloma. We report resemblance to conjunctival papilloma and the result of vital staining with 0.05% Toluidine Blue. CONCLUSION: Ocular rhinosporidiosis occurs in East Africa. It may resemble conjunctival squamous papilloma. Vital staining with 0.05% Toluidine blue dye did not distinguish the two lesions well.


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