Rinoescleroma A proposito de un caso #MMPMID10431083
Valor Garcia C; Castillo Serrano E; Martin del Guayo G; Bhathal Guede B; Garcia Fernandez E; Olalla Tabar A; Poch Broto J
Acta Otorrinolaringol Esp 1999[May]; 50 (4): 321-3 PMID10431083show ga
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.