gms | German Medical Science

GMS Current Posters in Otorhinolaryngology - Head and Neck Surgery

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e.V. (DGHNOKHC)

ISSN 1865-1038

Rhinoscleroma endemic in Egypt with atypical presentations

Poster Rhinologie

Suche in Medline nach

GMS Curr Posters Otorhinolaryngol Head Neck Surg 2015;11:Doc383

doi: 10.3205/cpo001348, urn:nbn:de:0183-cpo0013484

Veröffentlicht: 16. April 2015

© 2015 Ahmed.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.


Gliederung

Abstract

Rhinoscleroma is a progressive granulomatous disease affecting the nose and laterextending into the nasopharynx,oropharynx, the larynx and sometimes the trachea and bronchi.It may occur at any age and in either sex, but is more common in females and in the middle aged.It is seen mainly in central and south-eastern Europe, North Africa (endemic in Egypt), Indonesia and Central and South America.

Pathology: The disease is caused by the Gram-negative bacillus, Klebsiella rhinoscleromatis, also known as Frisch bacillus. The characteristic histological features include granulomatous tissue infiltrates in the submucosa, characterized by thepresence of plasma cells, lymphocytes and eosinophils. Besides, there are scattered large foam cells (Mikulicz cells) and Russel bodies. The disease may extend to involve the nasopharynx, hard palate, trachea and main bronchi.

In this study we reported some atypical presentations in the form of:

1.
a large nasopharyngeal mass with normal nasal cavity,
2.
a large vocal fold polyp with normal nasal cavity and subglottic region (which is the common site of laryngeal affection).

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