Rhinoscleroma With Laryngotracheal Involvement, Causing Diagnostic Dilemma

Abstract

Rhinoscleroma is a chronic, progressive, granulomatous disease caused by Klebsiella Rhinoscleromatis. It generally involves the nose but can affect other parts of the respiratory tract. It is uncommon but still evident in some parts of the world. We are reporting a case of a 25 year-old male who presented with nasal mass, dyspnoea and hoarseness of voice and created a diagnostic dilemma due to laryngeal involvement but histopathological examination revealed the diagnosis of rhinoscleroma. Apart from surgical debridement of the mass in nasal cavity, the patient was also treated with streptomycin, rifampicin and ciprofloxacin. He was asymptomatic in the follow-up. It is thus important to consider rhinoscleroma in cases of chronic nasal obstruction and histopathology plays a vital role in confirming the diagnosis.