Rhinoscleroma Causing Upper Airway Obstruction

Author:

Verma Geetika1,Kanawaty D1,Hyland R1

Affiliation:

1. University of Toronto, Department of Medicine, Canada

Abstract

Rhinoscleroma is a chronic granulomatous condition of the respiratory tract, and is not uncommon in tropical regions; particularly, Mexico, Central America and the Middle East. A few cases have been reported in North America, primarily involving immigrants from endemic countries. The causative organism isKlebsiella rhinoscleromatis, a Gram-negative coccobacillus. Diagnosis is made on the basis of culture of the organism and the characteristic pathology of Mikulicz cells on light microscopy. The condition primarily affects the upper airway, and frequently presents with nasal discharge, nasal obstruction or frontal facial pain. Despite the term 'rhinoscleroma', there may be involvement of the entire respiratory tract. Although the condition is slowly progressive, its natural course portends extensive destruction. Laryngotracheal involvement occurs in approximately 15% to 80% of cases, but patients rarely present with isolated laryngotracheal disease. In the present paper, a case of rhinoscleroma presenting with symptoms of upper airway obstruction is described.

Publisher

Hindawi Limited

Subject

Pulmonary and Respiratory Medicine

Cited by 15 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Nonneoplastic pathology of the large and small airways;Practical Pulmonary Pathology;2024

2. Leprosy and Rhinoscleroma: A Rare Case of Concurrence: A Case Study;Archives of Clinical Infectious Diseases;2019-01-23

3. Nonneoplastic Pathology of the Large and Small Airways;Practical Pulmonary Pathology: A Diagnostic Approach;2018

4. Rezidivierende Polychondritis;Zeitschrift für Rheumatologie;2015-05

5. RHINOSCLEROMA WITH LARYNGOTRACHEAL INVOLVEMENT, CAUSING DIAGNOSTIC DILEMMA;Journal of Evolution of medical and Dental Sciences;2013-01-28

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