Lassikri Omar, Benayad Jalila, Lachhab Omar, El Ayoubi Ali, Benbouzid Mohamed Anas, Essakalli Leila
Service d'Oto-Rhino-Laryngologie et Chirurgie Cervico-Faciale, CHU Ibn Sina, Rabat, Maroc.
Pan Afr Med J. 2018 Jun 12;30:116. doi: 10.11604/pamj.2018.30.116.13108. eCollection 2018.
Rhinoscleroma is a specific granulomatous and chronic disorder with insidious evolution. It is causes by pathogen Klebsiella rhinoscleromatis. It mainly occurs in the nasal cavities and positive diagnosis is sometimes problematic. We report the case of a 19 year old female patient presenting with rhinoscleroma considered atypical due to its rare nasopharyngeal localization and its exceptional association with cervical lymphadenopathy in the right submandibular angle region. Anatomopathological exam revealed Mikulicz's cells, thus enabling the diagnosis. The patient underwent antibiotic therapy with ciprofloxacin for 16 weeks associated with washing of nasal cavities with physiological saline solution. Patient's outcome was favorable during the 14-month follow-up period.
鼻硬结病是一种具有隐匿性发展的特殊肉芽肿性慢性疾病。它由鼻硬结克雷伯菌病原体引起。主要发生在鼻腔，有时阳性诊断存在问题。我们报告一例19岁女性患者，其鼻硬结病因其罕见的鼻咽部定位以及与右下颌角区域颈部淋巴结病的特殊关联而被认为是非典型的。解剖病理学检查发现了米库利奇细胞，从而得以确诊。患者接受了环丙沙星抗生素治疗16周，并辅以生理盐水冲洗鼻腔。在14个月的随访期内患者预后良好。
