Rhinoscleroma with laryngotracheal involvement: a case report

Authors

  • Saroo Singh Department of ENT, Pgimer Dr RML Hospital, New Delhi, India
  • Ankur Gupta Department of ENT, Pgimer Dr RML Hospital, New Delhi
  • Nishi Sharma Department of ENT, Pgimer Dr RML Hospital, New Delhi

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20200644

Keywords:

Rhinoscleroma, Hebra nose, Klebsiella rhinoscleromatis, Mikulicz cells, Larynx, Trachea

Abstract

Rhinoscleroma is a chronic, slowly progressive, granulomatous inflammatory disease of the upper respiratory tract. It is more common in developing countries and rural areas and endemic in Asia, Africa and South and Latin America. We report a case of rhinoscleroma in a young male presented to our Outpatient Department with complaint of hoarseness since one and half years. He had history of dyspnoea on exertion. Patient also had history of bilateral nasal discharge and obstruction. A nasal specimen was taken for histological diagnosis which confirmed rhinoscleroma. Patient was put on medical management and was assessed weekly for improvement by nasal endoscopy and laryngeal examination for one year. A high degree of suspicion is required by clinician to diagnose the disease and prompt treatment should be given to avoid the progression of disease and complications. Patient requires long term follow up for proper management.

Author Biographies

Saroo Singh, Department of ENT, Pgimer Dr RML Hospital, New Delhi, India

SENIOR RESIDENT

ENT DEPARTMENT

Ankur Gupta, Department of ENT, Pgimer Dr RML Hospital, New Delhi

Specialist

ENT department

 

Nishi Sharma, Department of ENT, Pgimer Dr RML Hospital, New Delhi

PROFESSOR
ENT department

References

Simons ME, Granato L, Oliveira RCB, Alcantara MPA. Rhinoscleroma: Case Report. Rev Bras Otorrinolaringol. 2006;72(4):568-71.

Von Frisch A. For the aetiology of Rhinoscleroma. Eien Méd Wschr. 1822;32:969-72.

Sebastian Lucas. Bacterial Diseases. In: Elder DE, ed. Lever’s Histopathology of the Skin, 9th Edition. Philadelphia, Lippincott Williams & Wilkins. 2005: 581-582.

Maguiña C, Cortez-Escalante J, Osores-Plenge F, Centeno J, Guerra H, Montoya M, et al. Rhinoscleroma: Eight Peruvian cases. Rev Inst Med Trop Sao Paulo. 2006;48(5):295-9.

Sood N, Sood S, Arora SD. Cytohistological features of rhinoscleroma. Indian J Pathol Microbiol 2011;54(4):806-8.

Al SerhaniAM, Al Qahtani AS, Arafa M. Association of rhinoscleroma with rhinosporidiosis. Rhinology. 1998;36(1):43-5.

Downloads

Published

2020-02-24

Issue

Section

Case Reports