title: Rhinoscleroma: case report.
abstract: Rhinoscleroma is a chronic, granulomatous infection that most frequently affects the respiratory mucosa, especially the nasal cavity and eventually extending through the lower respiratory tract. The disease is endemic in some countries of Central America (El Salvador and Guatemala), Indonesia, India, Poland, Hungary, Russia and some African countries as well. It is a rare disease in South America. We report a 51-year-old male resident of a psychiatric institution in São Paulo presenting with progressive nasal obstruction, frontal headache, yellowish nasal discharge and a mass extruding through the right nasal vestibule. The present case report describes a Rhino-Sinus scleroma where histopathology was vital in the diagnosis. The patient was treated by surgical excision of the nasal mass followed by a course of ciprofloxacin. He has remained asymptomatic up to the last visit six months following treatment and has shown no evidence of recurrence.
authors.affiliation: Department of Otorhinolaryngology, Santa Casa de Misericórdia de São Paulo, Brazil. ms74@ig.com.br
authors.forename: Mônica Elisabeth
authors.initials: ME
authors.lastname: Simons
authors.forename: Lidio
authors.initials: L
authors.lastname: Granato
authors.forename: Roberto Claudio Batista
authors.initials: RC
authors.lastname: Oliveira
authors.forename: Mônica Porto Alves
authors.initials: MP
authors.lastname: Alcantara
mesh_terms: D000890:Anti-Infective Agents / Q000627:therapeutic use; D002939:Ciprofloxacin / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D009297:Nasal Mucosa / Q000382:microbiology*; D012226:Rhinoscleroma / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D014057:Tomography, X-Ray Computed
chemical_list: D000890:Anti-Infective Agents; D002939:Ciprofloxacin