ABSTRACT
Rhinoescleroma is a chronic infectious granuloma due to Klebsiella rhinoscleromatis. The nose is involved in all cases with frequent extension to other parts of the airways. Rhinoscleroma is endemic to areas of Africa, South-East Asia, Mexico, Central and South America, and Central and Eastern Europe. In the past, rhinoscleroma was infrequent in the Spanish population but, with current trends in migration, the incidence of rhinoscleroma may be on the rise. Diagnosis is made by direct evidence of bacteria in exudate or nasal biopsy. Differential diagnosis must consider syphilis, midline granuloma and malignancy.
Subject(s)
Rhinoscleroma , Female , Humans , Middle Aged , Rhinoscleroma/diagnosisABSTRACT
El rinoscleroma es una enfermedad granulomatosa, crónica, causada por Klebsiella rhinoescleromatis. Afecta fundamentalmente a la nariz, pero puede progresar a toda la vía respiratoria. Es endémica en áreas de África, sureste asiático, México, América Central y Suramérica y Europa del este. En el pasado ha sido infrecuente en la población española, pero con la actual tasa de migración, su incidencia puede encontrarse en alza. El diagnóstico se realiza aislando al germen causal en el exudado o la biopsia. El diagnóstico diferencial debe incluir sífilis, granuloma de la línea media y malignidad (AU)
Rhinoescleroma is a chronic infectious granuloma due to Klebsiella rhinoscleromatis. The nose is involved in all cases with frequent extension to other parts of the airways. Rhinoscleroma is endemic to areas of Africa, South-East Asia, Mexico, Central and South America, and Central and Eastern Europe. In the past, rhinoscleroma was infrequent in the Spanish population but, with current trends in migration, the incidence of rhinoscleroma may be on the rise. Diagnosis is made by direct evidence of bacteria in exudate or nasal biopsy. Differential diagnosis must consider syphilis, midline granuloma and malignancy (AU)
