z-logo
open-access-imgOpen Access
Rhinoscleroma Masquerading as a Nasopharyngeal Malignancy
Author(s) -
Sana Parveen,
Shraddha Jain
Publication year - 2021
Publication title -
journal of evolution of medical and dental sciences
Language(s) - English
Resource type - Journals
eISSN - 2278-4802
pISSN - 2278-4748
DOI - 10.14260/jemds/2021/518
Subject(s) - medicine , rhinoscleroma , malignancy , nasal cavity , larynx , nose , pathology , dermatology , surgery
Klebsiella rhinoscleromatis, the causative agent of rhinoscleroma, is a Gram-negative, facultative intracellular, non-motile, encapsulated bacillus. The organism has a very low infectivity necessitating a chronic exposure for infection. Prevalence is also high in developing countries like India. The factors responsible for this are attributed to poor hygiene, poor access to medications and overcrowded living conditions.1 Though entire respiratory mucosa can be affected, the organism has an affinity for nasal mucosa and thus nasal cavity is the most prevalent site accounting for 95–100 % of cases. In decreasing order of involvement nasopharynx (18 – 43 %), larynx (15 – 40 %), trachea (12 %) and bronchi (2 – 7 %) are the other sites.2 Our patient had bilateral nasal obstruction and discharge since 6 months as the only presenting complaint. Clinically there was no evidence of lymphadenopathy, but the CT scans of the paranasal sinuses showed heterogeneously ill-defined mass in the posterior nasal cavity, raising suspicion of a malignancy. Hence the case was further investigated.

The content you want is available to Zendy users.

Already have an account? Click here to sign in.
Having issues? You can contact us here