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[鼻硬结病]

[Rhinoscleroma].

作者信息

Ben Gamra Olfa, Zribi Sarra, Hriga Ines, El Khedim Abdelkader

机构信息

Service ORL, Hôpital Habib Thameur, Tunis, Tunisie.

出版信息

Tunis Med. 2006 Dec;84(12):833-6.

Abstract

PURPOSE OF STUDY

Rhinoscleroma is a chronic infectious granuloma due to Klebsiella rhinoscléromatis. The aim of the study is to precise clinical. paraclinical and therapeutic aspects of rhinosclérome.

MATERIAL AND METHODS

We propose a study about 3 cases of rhinosclérome collected in a period of 15 years. Nasal endoscopy was realised in all cases with a bacteriological sampling and a histological examination of nasal lesions. We realised nasosinusien scanner in all cases.

RESULTS

All patients have a progressive and bilateral nasal obstruction. Cruts rhinitis was observed in 2 cases. Laryngal scleroma was observed in one case. The diagnosis was confirmed by histological examination and bacteriological sampling. All patients were treated with fluoroquinolones. The evolution was satisfactory in 2 cases.

CONCLUSION

Sclérome is a cosmopolitan disease which requires early diagnosis and treatment.

摘要

研究目的

鼻硬结病是一种由鼻硬结克雷伯菌引起的慢性感染性肉芽肿。本研究的目的是明确鼻硬结病的临床、副临床和治疗方面的情况。

材料与方法

我们对15年间收集的3例鼻硬结病病例进行了一项研究。所有病例均进行了鼻内镜检查,并采集了细菌样本,对鼻部病变进行了组织学检查。所有病例均进行了鼻窦扫描。

结果

所有患者均有进行性双侧鼻塞。2例观察到干酪性鼻炎。1例观察到喉硬结病。组织学检查和细菌样本采集确诊了诊断。所有患者均接受氟喹诺酮类药物治疗。2例病情进展良好。

结论

硬结病是一种世界性疾病,需要早期诊断和治疗。

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