[Rhinoscleroma. A case report].
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.
Valor García
C
C
Hospital Clínico San Carlos, Universidad Complutense de Madrid, Madrid, 28040, España.
Castillo Serrano
E
E
Martín del Guayo
G
G
Bhathal Guede
B
B
García Fernández
E
E
Olalla Tabar
A
A
Poch Broto
J
J
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*
Rinoescleroma. A propósito de un caso.