title: [Rhinoscleroma. A case report].
abstract: Rhinoscleroma is a chronic, specific, inflammatory granulomatous condition of the nose and other structures of the upper respiratory tract. It is caused by the bacterium Klebsiella rhinoscleromatis. We report a case in a 29-year-old black male emigrant who consulted for a 2-year history of hoarseness, cough, and nasal discharge. The diagnosis was scleroma with nasal, laryngeal, tracheal, and bronchial involvement and ulcerating and necrotizing lesions that caused respiratory obstruction. Bacterial over-infection responded to treatment with third-generation cephalosporins and clindamycin. The sclerotic lesions responded well to treatment with ciprofloxacin. We review the clinical findings at different stages, diagnostic options, and several treatments.
authors.affiliation: Hospital Clínico San Carlos, Universidad Complutense de Madrid, Madrid, 28040, España.
authors.forename: C
authors.initials: C
authors.lastname: Valor García
authors.forename: E
authors.initials: E
authors.lastname: Castillo Serrano
authors.forename: G
authors.initials: G
authors.lastname: Martín del Guayo
authors.forename: B
authors.initials: B
authors.lastname: Bhathal Guede
authors.forename: E
authors.initials: E
authors.lastname: García Fernández
authors.forename: A
authors.initials: A
authors.lastname: Olalla Tabar
authors.forename: J
authors.initials: J
authors.lastname: Poch Broto
mesh_terms: D000328:Adult; D002908:Chronic Disease; D006801:Humans; D007710:Klebsiella Infections / Q000150:complications; D007711:Klebsiella pneumoniae / Q000302:isolation & purification; D008279:Magnetic Resonance Imaging; D008297:Male; D012226:Rhinoscleroma / Q000382:microbiology / Q000473:pathology*
vernacular_title: Rinoescleroma. A propósito de un caso.