PMC8010393_01
Swellings of varying sizes over (a) upper chest, (b) back, (c) waist, and (d) leg.
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On examination, many tender swellings of varying sizes were present over anterior upper chest, waist, hips, both arms, forearms, thighs, and legs (Fig. 1).
Chest X-ray (a) pre-therapy, and (b) post-therapy, showing a decrease in size of the lung lesions.
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Though he had no respiratory symptoms, a routine chest X-ray was done, revealing multiple well-defined opacities in left hemi-thorax (Fig. 2a). Some of the lesions disappeared and most others decreased reasonably in size (Fig. 2b).
Microscopic appearance (H & E 10X) showing sporangia containing numerous endospores.
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Tissues from skin lesions and lung lesions (CT-guided) confirmed the diagnosis of dermato-pulmonary rhinosporidiosis (Fig. 3, Fig. 4, Fig. 5).
KOH mount under 40X showing sporangium containing spores.
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Tissues from skin lesions and lung lesions (CT-guided) confirmed the diagnosis of dermato-pulmonary rhinosporidiosis (Fig. 3, Fig. 4, Fig. 5).