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Case In Images
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| Rhinoscleroma: A case report | ||||||
| Bhagyalakshmi A.1, Rao C.V.2, Krishna Kishore T.,3, Kartheek B.V.S.4 | ||||||
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1MD, Pathology, Professor and Head, Department of Pathology, Andhra Medical College, Visakhapatnam, Andhra Pradesh, India.
2MCh, Plastic Surgery, Retired Principle, Andhra Medical College and Professor and Head, Department of Plastic surgery, Andhra Medical College/King George Hospital, Visakhapatnam, Andhra Pradesh, India. - Present Director, Gitam Institute of Medical Sciences, Visakhapatnam, Andhra Pradesh, India. 3MS, ENT, Professor and Head, Department of ENT, Andhra Medical College/Government ENT Hospital, Visakhapatnam, Andhra Pradesh, India. 4MD, Pathology, Senior Resident, Department of Pathology, Andhra Medical College, Visakhapatnam, Andhra Pradesh, India. | ||||||
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| How to cite this article |
| Bhagyalakshmi A, Rao CV, Krishna KT, Kartheek BVS. Rhinoscleroma: A case report. Int J Case Rep Images 2014;5(12):868–872. |
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Abstract
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Introduction:
Rhinoscleroma is a chronic, granulomatous infection caused by Gram negative facultative intracellular encapsulated, non-motile bacillus Klebsiella rhinoscleromatis that most frequently affects the respiratory mucosa, especially the nasal cavity and eventually extending through the lower respiratory tract.
Case Report: We report a case of rhinoscleroma in a 32-year-old female presenting with extensive swelling of mid-face encroaching onto the lower two-thirds of the nose, upper lip and oral cavity and nasal blockage with a duration of more than five years. A biopsy was taken for histological diagnosis which confirmed the diagnosis of rhinoscleroma followed by excision of the lesion and reconstruction of the nose and upper lip. For five years, there was no evidence of recurrence. Conclusion: When the disease progresses with proliferation, it may simulate a tumor, as in our patient with typical Hebra nose. | |
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Keywords:
Chronic granulomatous infection, Hebra nose, Klebsiella rhinoscleromatis, Mikulicz cells, Rhinoscleroma
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Author Contributions
Bhagyalakshmi A. – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Rao C.V. – Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Krishna Kishore T. – Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Kartheek B.V.S. – Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2014 Bhagyalakshm et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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