al-Serhani A M, al Qahtani A S, Arafa M
Department of ENT/Head & Neck Surgery, King Abdul Aziz University Hospital, Riyadh, Kingdom of Saudi Arabia.
Rhinology. 1998 Mar;36(1):43-5.
Rhinoscleroma caused by the bacillus Klebsiella rhinoscleromatis and rhinosporidiosis caused by the fungus Rhinosporidium seebri are rare, specific nasal infections, both of which have a certain geographical distribution. To the best of our knowledge no association between them has been reported in the international literature. We have documented such an association in two male Indian patients aged-32 and 27 years, respectively-both presenting with unilateral blood-stained discharge and nasal blockage. They showed strawberry-like polypoidal masses, and histological examination confirmed the diagnosis. Klebsiella rhinoscleromatis was cultured twice in the first case. The patients were treated with complete excision and a long course of septrin, for which Klebsiella rhinoscleromatis is sensitive. The purpose of this paper is to report the first association of these two granulomatous infections, to show the impact of immigration on the differential diagnosis, and to review the relevant literature.
由鼻硬结克雷伯菌引起的鼻硬结病和由西氏鼻孢子菌引起的鼻孢子虫病是罕见的特异性鼻部感染，二者均有一定的地理分布。据我们所知，国际文献中尚未报道过它们之间的关联。我们记录了两例印度男性患者之间的这种关联，他们分别为32岁和27岁，均表现为单侧血性分泌物和鼻塞。他们呈现出草莓样息肉样肿物，组织学检查确诊了病情。第一例患者的鼻硬结克雷伯菌培养了两次。患者接受了完整切除手术，并长期使用复方新诺明治疗，鼻硬结克雷伯菌对此敏感。本文的目的是报告这两种肉芽肿性感染的首次关联，展示移民对鉴别诊断的影响，并回顾相关文献。
