This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: ENT
Nasal septum perforation occurs in all the following except - 
Select and explain. 
A. Tuberculosis, B. Nasal surgery, C. Syphilis, D. Rhinosporidiosis
D: Rhinosporidiosis
Answer: D: Rhinosporidiosis 
Explanation: Causes of septal perforation are : -

1) Trauma
2) Iatrogenic : - Nasal surgery, nasal intubation or nasogastric tube placement

Chronic inflammation (Wegener's granulomatosis, Syphilis, T.B. Leprosy, atrophic rhinitis, Sarcoidosis)
Nasal myiasis
Rhinolith or neglected foreign body.
As a complication of septal abscess or hematoma, if drainage is delayed.
Poisons (cocaine, topical steroids and decongestants)
Tumors of septum e.g., chondrosarcoma, granuloma