Septal rhinoscleroma

Abstract

Rhinoscleroma is a chronic granulomatous condition of the nose and other structures of the upper respiratory tract. Infection by the bacterium Klebsiella rhinoscleromatis is said to be the cause. A female patient aged 45 years, presented with a past history of trauma to the nose and swelling on her nose since last 1 year. There was nasal asymmetry and internal nasal examination showed a septal swelling protruding to the right nasal cavity with hypertrophied nasal mucosa and inferior turbinate. Open tip rhinoplasty approach was used to excise the mass, which examined pathologically revealing a rhinoscleroma, fibrotic infiltrative stage.

Invasive Klebsiella rhinoscleromatis infection leading to ARDS, septic shock, and death: A rare case report

“…ozaenae and K pneumoniae subsp. rhinoscleromatis ) are responsible for upper respiratory tract infections and are typically found in patients with ozaena and rhinoscleroma [ 5 , 6 ].…”

The inferior turbinate: An autonomic organ

“…It localizes in the upper airways, especially in the nasal mucosa of the inferior turbinate, after being inhaled through infected droplets (Shoeib 2010). Rhinoscleroma results in hypertrophy of the turbinate and has even been seen to infiltrate the tissue completely, separating the inferior turbinate from the lateral wall of the nasal cavity (Yassin, Badrawy, and Mokhtar 1971).…”

Imaging of scleroma in the head and neck

“…At diffusion MRI, the lesions exhibit restricted diffusion with low apparent diffusion coefficients (ADCs) that simulate malignancy owing to the presence of fatty cells within the lesion and high cellularity ( Figure 3) [11,12]. The middle and the inferior turbinates are always affected, with atrophy or complete destruction, and the nasal septum may be destroyed [13].…”