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Published on: August 9, 2024
[Rhinoscleroma]
Olfa Ben Gamra1, Sarra Zribi, Ines Hriga
1Service ORL, Hôpital Habib Thameur, Tunis, Tunisie.
Purpose Of Study:
Rhinoscleroma is a chronic infectious granuloma due to Klebsiella rhinoscléromatis. The aim of the study is to precise clinical. paraclinical and therapeutic aspects of rhinosclérome.
Material And Methods:
We propose a study about 3 cases of rhinosclérome collected in a period of 15 years. Nasal endoscopy was realised in all cases with a bacteriological sampling and a histological examination of nasal lesions. We realised nasosinusien scanner in all cases.
Results:
All patients have a progressive and bilateral nasal obstruction. Cruts rhinitis was observed in 2 cases. Laryngal scleroma was observed in one case. The diagnosis was confirmed by histological examination and bacteriological sampling. All patients were treated with fluoroquinolones. The evolution was satisfactory in 2 cases.
Conclusion:
Sclérome is a cosmopolitan disease which requires early diagnosis and treatment.
Insights
Rhinoscleroma, a chronic infection, presents with nasal obstruction and requires early diagnosis. Treatment with fluoroquinolones showed satisfactory outcomes in most cases studied.
Area of Science:
- Infectious Diseases
- Otorhinolaryngology
- Microbiology
Background:
- Rhinoscleroma is a chronic granulomatous disease caused by Klebsiella rhinoscleromatis.
- Understanding its clinical, paraclinical, and therapeutic aspects is crucial for effective management.
Observation:
- A retrospective study analyzed 3 cases of rhinoscleroma over 15 years.
- Clinical manifestations included progressive bilateral nasal obstruction, crusting rhinitis, and laryngeal involvement.
- Diagnostic methods comprised nasal endoscopy, bacteriological sampling, and histological examination.
Findings:
- Histological and bacteriological analyses confirmed the diagnosis in all cases.
- All patients received fluoroquinolone treatment.
- Satisfactory clinical evolution was observed in two out of three patients.
Implications:
- Rhinoscleroma is a globally occurring disease.
- Early diagnosis and prompt treatment are essential for favorable outcomes.
- This study highlights the importance of a multidisciplinary approach in managing rhinoscleroma.
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