Case Report on Management and outcomes of Rhinoscleroma.

Abstract

Rhinoscleroma (RS) is a chronic granulomatous lesion caused by Klebsiella rhinoscleromatis. Present complaints and investigation: In all cases, the nose is affected, although it can also affect other areas of the airways. The histopathological examination (HPE) or direct evidence of bacteria in nasal exudates are used to diagnose this condition. In this case, syphilis, cancer, and midline granuloma are the differential diagnosis for the RS. Streptomycin is the preferred antibiotic, however fluoroquinolones and cephalosporins also work well. If there is an obstruction or a deformity, surgery is recommended. Past history: She is 11-year-old girl was. admitted in AVBRH on dated 01/02/2021 with chief complaints of Blockage of the nasal passages (most common complaint) Epistaxis, Dysphagia, and Rhinorrhea Nasal deformity is a type of nasal deformity that occurs when the nose becomes Soft palate anaesthesia, Breathing difficulties that develop into stridor, Anosmia, Dysphonia No evidence of bone erosion were found on the nasal wall. The main diagnosis, therapeutic intervention and outcomes: Biopsy was taken from the right nasal cavity and sent for histopathological examination (HPE). HPE revealed extensive inflammatory infiltrates along with lymphoplasmacytic and histiocytic predominance. and On the basis of the HPE, I was diagnosed with RS. The patient was treated with an endoscopic nasal mass ectomy and a course of Ciprofloxacin. Conclusions : Rhinoscleroma is an uncommon disease that can mimic a variety of infectious and malignant diseases when it occurs in places with poor hygiene. In cases of symptomatic obstruction, treatment should include long-term therapy as well as surgery.