Rhinoscleroma causing severe bilateral nasal obstruction

• Autor(a) principal: Moraes,Mário Augusto Pinto de
• Data de Publicação: 2010
• Outros Autores: Magalhães,Albino Verçosa de, Marinho,Larissa Cardoso, Azevedo,Ana Emília Borges de, Carneiro,Fabiana Pirani, Raymundo,Igor Teixeira
• Tipo de documento: Relatório
• Idioma: eng
• Título da fonte: Brazilian Journal of Infectious Diseases
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702010000200015
• topic: rhinoscleroma; nasal obstruction; histopathology

Rhinoscleroma is a chronic, infectious and granulomatous disease of the respiratory tract. There is often a delay in diagnosis due to unfamiliarity with the disease and also because culture is not always positive. We report a case in a 26-year-old woman with granular mass obstructing bilateral nasal cavities and causing breathing difficulty. Histopathological examination showed characteristic Mikulicz histiocytes containing numerous Gram-negative intracellular rod-shaped bacilli consistent with the diagnosis of rhinoscleroma. The patient was treated with gemifloxacin and tetracycline and remains asymptomatic over a year follow-up period. It is important to consider rhinoscleroma in cases of chronic nasal obstruction. As culture is not always positive, histopathological examination may be crucial to the diagnosis.