Rhinoscleroma in Karbala -- Case Report --

Abstract

a 14 year old boy presented with a history of progressive nasal obstruction with frequent bleeding episodes, for the last three months. The otolaryngological examination revealed slight dilated and flattened nose with grey red lobulated mass filling only the right side of the nose with no extension to the postnasal space. The mass excised completely and send for histopathology and the result was highly suggestive of chronic granulomatous inflammation of sinonasal cavity. The condition recurs six months later and the patient presented with the same lesion filling both sides of the nose. The patient underwent complete excision of the mass. The pathological report consistent with rhinoscleroma. The patient received ciprofloxacin with good improvement. He has remained asymptomatic up to the last visit six months following treatment and has shown no evidence of recurrence. This case report to raise awareness of this condition among physicians and aid in early diagnosis so as to reduce morbidity.