Rhinoscleroma causing severe bilateral nasal obstruction

AUTOR(ES)

Moraes, Mário Augusto Pinto de, Magalhães, Albino Verçosa de, Marinho, Larissa Cardoso, Azevedo, Ana Emília Borges de, Carneiro, Fabiana Pirani, Raymundo, Igor Teixeira

FONTE

Brazilian Journal of Infectious Diseases

DATA DE PUBLICAÇÃO

2010-04

RESUMO

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.

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