Navazo Eguía Ana Isabel, García Vicario Fernando
Servicio de Otorrinolaringología, Hospital General Yagüe, Burgos, España.
Acta Otorrinolaringol Esp. 2010 Mar-Apr;61(2):160-2.
Rhinoescleroma is a chronic infectious granuloma due to Klebsiella rhinoscleromatis. The nose is involved in all cases with frequent extension to other parts of the airways. Rhinoscleroma is endemic to areas of Africa, South-East Asia, Mexico, Central and South America, and Central and Eastern Europe. In the past, rhinoscleroma was infrequent in the Spanish population but, with current trends in migration, the incidence of rhinoscleroma may be on the rise. Diagnosis is made by direct evidence of bacteria in exudate or nasal biopsy. Differential diagnosis must consider syphilis, midline granuloma and malignancy.
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。所有病例均累及鼻部，常蔓延至气道其他部位。鼻硬结病在非洲、东南亚、墨西哥、中南美洲以及中东欧地区呈地方性流行。过去，西班牙人群中鼻硬结病并不常见，但随着当前的移民趋势，鼻硬结病的发病率可能正在上升。通过渗出物中细菌的直接证据或鼻活检进行诊断。鉴别诊断必须考虑梅毒、中线肉芽肿和恶性肿瘤。
