Ben Gamra Olfa, Zribi Sarra, Hriga Ines, El Khedim Abdelkader
Service ORL, Hôpital Habib Thameur, Tunis, Tunisie.
Tunis Med. 2006 Dec;84(12):833-6.
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.
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.
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.
Sclérome is a cosmopolitan disease which requires early diagnosis and treatment.
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。
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。
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。
硬结病是一种世界性疾病，需要早期诊断和治疗。
