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[Rhinoscleroma. A case report]
C Valor García1, E Castillo Serrano, G Martín del Guayo
1Hospital Clínico San Carlos, Universidad Complutense de Madrid, Madrid, 28040, España.
Acta Otorrinolaringologica Espanola
|August 4, 1999
Summary
Rhinoscleroma, a chronic upper respiratory tract infection caused by Klebsiella rhinoscleromatis, can lead to severe obstruction. This case highlights successful treatment of bacterial infection and sclerotic lesions with antibiotics.
Area of Science:
- Infectious Diseases
- Bacteriology
- Otolaryngology
Background:
- Rhinoscleroma is a chronic granulomatous disease affecting the upper respiratory tract.
- It is caused by the bacterium Klebsiella rhinoscleromatis.
- This condition can lead to significant respiratory compromise.
Observation:
- A case report of a 29-year-old male with a 2-year history of hoarseness, cough, and nasal discharge.
- Diagnosis confirmed as scleroma with extensive nasal, laryngeal, tracheal, and bronchial involvement.
- Ulcerating and necrotizing lesions causing respiratory obstruction were noted.
Findings:
- Bacterial over-infection was treated effectively with third-generation cephalosporins and clindamycin.
- Sclerotic lesions showed a positive response to ciprofloxacin treatment.
- The review covers clinical stages, diagnostics, and therapeutic strategies for rhinoscleroma.
Implications:
- This case underscores the importance of considering rhinoscleroma in patients with chronic upper airway symptoms.
- Effective antibiotic regimens can manage both infectious and inflammatory components of the disease.
- Understanding diverse clinical presentations and treatment responses is crucial for patient management.