[Scleroma and rhinoscleroma].
Scleroma is a specific granulomatous disease of bacterial origin, chronic evolution, with election in respiratory tracts; nose lesion is practically constant and so justifies the term Rhinoscleroma. Although they are many endemic foci throughout the world and in particular in Africa, it is an uncommon disease, often not recognized for polymorphic. The cases recorded out of already known foci concerned generally migrants; autochtonous cases in France are really infrequent. Within the evolutive lesions diagnosis is made out of the isolation of the responsible germ (Klebsiella rhinoscleromatis) and the presence of the specific Mikulicz' cell. To find out localizations in the same patient, we utilize X Rays and endoscopy. Antibiotic therapy is of long duration but treats the affection and prepares the way of surgery intervention to eliminate cicatricial deformities. Relapses are caused by shortness of therapy and some difficulty to monitor patients. Mortel in the past, scleroma should nowadays, be better recognized to be better treated and cured.
Claveau
A M
AM
Service ORL, l'Hôpital provincial de Garoua, Cameroun.
D000328:Adult; D000349:Africa / Q000453:epidemiology; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012226:Rhinoscleroma / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery; D012307:Risk Factors
D000900:Anti-Bacterial Agents
Sclérome et rhinosclérome.