[Spheno-ethmoidal rhinoscleroma. Report of a case and review of the literature].
We report an unusual case of spheno-ethmoidal rhinoscleroma. This chronic granulomatous disease occurs sporadically in Western Europe. Culture is necessary for diagnosis showing the causative organism of rhinoscleroma, Klebsiella rhinoscleromatis. Immunocytochemistry is used in any suspicious case with a negative culture. Antibiotics are the mainstay of therapy for several weeks, using ciprofloxacine or rifampicin, until the nasal biopsies demonstrated no Klebsiella organism.
CHU Charles Nicolle, Rouen.
I
I
Evrard
X
X
Gruyer
P
P
Desse
A
A
Francois
J P
JP
Marie
D
D
Dehesdin
J
J
Andrieu-Guitrancourt
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D005004:Ethmoid Bone / Q000473:pathology*; D005260:Female; D006801:Humans; D007710:Klebsiella Infections / Q000382:microbiology; D007711:Klebsiella pneumoniae / Q000302:isolation & purification; D008279:Magnetic Resonance Imaging; D010255:Paranasal Sinus Neoplasms / Q000473:pathology*; D012226:Rhinoscleroma / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology*; D013100:Sphenoid Bone / Q000473:pathology*
D000900:Anti-Bacterial Agents
Rhinosclérome ou sclérome du sinus sphénoïdal. A propos d'un cas et revue de la littérature.