Laryngotracheobronchial involvement in a patient with nonendemic rhinoscleroma.
case_report · Level V
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Abstract
We report the first case of rhinoscleroma in an Israeli citizen, a former sailor with a transatlantic shipping company. Characteristic histologic changes from a tracheal biopsy and isolation of Klebsiella rhinoscleromatis from a blood culture after diagnostic bronchoscopy confirmed the diagnosis. Extreme delay in the diagnosis, a not uncommon feature in nonendemic areas, was associated with severe advanced laryngotracheobronchial disease. Treatment with quinolones was followed by significant improvement, but the patient died 1 month after presentation, apparently from upper airway obstruction.
Medical subject headings
- Bronchial Diseases
- Laryngeal Diseases
- Rhinoscleroma
- Tracheal Diseases