Rhinoscleroma of nose extruding into oral cavity

Area of Science:

• Infectious Diseases
• Otolaryngology
• Pathology

Background:

• Rhinoscleroma (RS) is a rare, chronic granulomatous infectious disease affecting the upper airways.
• Caused by Klebsiella rhinoscleromatis, RS is endemic in specific global regions, often associated with lower socioeconomic conditions.
• Typical symptoms include chronic rhinitis, sneezing, headache, and deviated nasal septum.

Observation:

• This report presents a unique case of rhinoscleroma originating in the nasal cavity.
• The disease progression in this case involved an unusual extension into the oral cavity.
• Mikulicz cells, characteristic of RS, were identified in the lesion.

Findings:

• The study documents a rare presentation of rhinoscleroma.
• Demonstrates the nasal cavity as the primary site with secondary oral cavity involvement.
• Highlights the causative agent, Klebsiella rhinoscleromatis, and characteristic pathological findings.

Implications:

• This case expands the known clinical spectrum of rhinoscleroma.
• Suggests the importance of considering oral cavity examination in suspected RS cases.
• Contributes to understanding the geographic and socioeconomic distribution of this rare disease.