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Rhinoscleroma presenting as a nasal-palatal mass with airway obstruction.

Domanski MC, Rivero A, Kardon DE - F1000Res (2013)

Bottom Line: We report a case of a 45-year-old male with severe rhinoscleroma.The patient presented to the emergency room with dyspnea from a long-standing nasal-palatal mass.While dyspnea in the presence of an upper airway mass is typical of malignancy, consideration of non-oncological etiologies is important.

View Article: PubMed Central - PubMed

Affiliation: Division of Otolaryngology, Washington Adventist Hospital, Takoma Park, Maryland, 20912, USA.

ABSTRACT
We report a case of a 45-year-old male with severe rhinoscleroma. The patient presented to the emergency room with dyspnea from a long-standing nasal-palatal mass. A tracheostomy was required for airway control. While dyspnea in the presence of an upper airway mass is typical of malignancy, consideration of non-oncological etiologies is important. We review the epidemiology, pathology, diagnosis, and treatment of rhinoscleroma.

No MeSH data available.


Related in: MedlinePlus

H&E stain (400×) demonstrated a mixture of plasma cells (arrow), lymphocytes (short arrow) and vacuolated macrophages (Mikulicz cells) (double arrow).
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f3: H&E stain (400×) demonstrated a mixture of plasma cells (arrow), lymphocytes (short arrow) and vacuolated macrophages (Mikulicz cells) (double arrow).

Mentions: A local awake tracheostomy was performed to provide a secure airway. A palatal biopsy was sent for analysis and demonstrated squamous mucosa with a dense, mixed inflammatory infiltrate containing abundant plasma cells and scattered vacuolated macrophages (Mikulicz cells) (Figure 3). A Warthin-Starry stain revealed rod-shaped bacilli within the vacuolated macrophages. The bacilli were morphologically consistent withKlebsiella (Figure 4).


Rhinoscleroma presenting as a nasal-palatal mass with airway obstruction.

Domanski MC, Rivero A, Kardon DE - F1000Res (2013)

H&E stain (400×) demonstrated a mixture of plasma cells (arrow), lymphocytes (short arrow) and vacuolated macrophages (Mikulicz cells) (double arrow).
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC3814917&req=5

f3: H&E stain (400×) demonstrated a mixture of plasma cells (arrow), lymphocytes (short arrow) and vacuolated macrophages (Mikulicz cells) (double arrow).
Mentions: A local awake tracheostomy was performed to provide a secure airway. A palatal biopsy was sent for analysis and demonstrated squamous mucosa with a dense, mixed inflammatory infiltrate containing abundant plasma cells and scattered vacuolated macrophages (Mikulicz cells) (Figure 3). A Warthin-Starry stain revealed rod-shaped bacilli within the vacuolated macrophages. The bacilli were morphologically consistent withKlebsiella (Figure 4).

Bottom Line: We report a case of a 45-year-old male with severe rhinoscleroma.The patient presented to the emergency room with dyspnea from a long-standing nasal-palatal mass.While dyspnea in the presence of an upper airway mass is typical of malignancy, consideration of non-oncological etiologies is important.

View Article: PubMed Central - PubMed

Affiliation: Division of Otolaryngology, Washington Adventist Hospital, Takoma Park, Maryland, 20912, USA.

ABSTRACT
We report a case of a 45-year-old male with severe rhinoscleroma. The patient presented to the emergency room with dyspnea from a long-standing nasal-palatal mass. A tracheostomy was required for airway control. While dyspnea in the presence of an upper airway mass is typical of malignancy, consideration of non-oncological etiologies is important. We review the epidemiology, pathology, diagnosis, and treatment of rhinoscleroma.

No MeSH data available.


Related in: MedlinePlus