gms | German Medical Science

86th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

13.05. - 16.05.2015, Berlin

Rhinoscleroma endemic in Egypt with atypical presentations

Meeting Abstract

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Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 86. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Berlin, 13.-16.05.2015. Düsseldorf: German Medical Science GMS Publishing House; 2015. Doc15hnod568

doi: 10.3205/15hnod568, urn:nbn:de:0183-15hnod5682

Published: March 26, 2015

© 2015 Ahmed.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License. You are free: to Share - to copy, distribute and transmit the work, provided the original author and source are credited. See license information at



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:

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

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