Laryngotracheobronchial involvement in a patient with nonendemic rhinoscleroma.

We report the first case of rhinoscleroma in an Israeli citizen, a former sailor with a transatlantic shipping company. Characteristic histologic changes from a tracheal biopsy and isolation of Klebsiella rhinoscleromatis from a blood culture after diagnostic bronchoscopy confirmed the diagnosis. Extreme delay in the diagnosis, a not uncommon feature in nonendemic areas, was associated with severe advanced laryngotracheobronchial disease. Treatment with quinolones was followed by significant improvement, but the patient died 1 month after presentation, apparently from upper airway obstruction.

[1]  M. Shindo,et al.  Laryngotracheal Manifestations of Rhinoscleroma , 1996, The Annals of otology, rhinology, and laryngology.

[2]  N. Soni.  Scleroma of the lower respiratory tract: a bronchoscopic study , 1994, The Journal of Laryngology & Otology.

[3]  A. Soda-Merhy,et al.  Scleroma of the lower respiratory tract: case report and review of literature , 1994, The Journal of Laryngology & Otology.

[4]  E. Kern,et al.  Rhinoscleroma: a growing concern in the United States? Mayo Clinic experience. , 1993, Mayo Clinic proceedings.

[5]  H. Bank,et al.  Freeze‐Dried microarterial replacement allografts in rabbits , 1989, The Laryngoscope.

[6]  Gaafar Ha.  Endoscopy of lower respiratory tract scleroma. , 1983 .

[7]  C. Stiernberg,et al.  Rhinoscleroma … a diagnostic challenge. , 1983, The Laryngoscope.

[8]  P. Meyer,et al.  Clinical update on rhinoscleroma , 1982, The Laryngoscope.

[9]  W. J. Watson,et al.  Sterile Preparation of the External Auditory Canal with Povidone-Iodine , 1979, Otolaryngology and head and neck surgery.

[10]  R. H. Miller,et al.  Klebsiella Rhinoscleromatis: A Clinical and Pathogenic Enigma , 1979, Otolaryngology and head and neck surgery.

[11]  P. Holinger,et al.  Rhinoscleroma of the lower respiratory tract , 1977, The Laryngoscope.

[12]  W. F. Boyle,et al.  Reinnervation of the facial muscles following extratemporal facial nerve resection , 1971, The Laryngoscope.

[13]  S. A. Iampol'skaia.  [Causes of death in scleroma]. , 1970, Arkhiv patologii.