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All Journal Indian Journal of Forensic Medicine & Toxicology
Santosh Kumar Swain1 , Priyanka Debta2 , Smarita Lenka3 , Smrutipragnya Samal4 , Anurag Dani5 , Somalee Mahapatra6
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Rhinoscleroma-A Rare Granulomatous Disease in a Child Santosh Kumar Swain1 , Priyanka Debta2 , Smarita Lenka3 , Smrutipragnya Samal4 , Anurag Dani5 , Soma
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i4.13109

Abstract

Rhinoscleroma (RS) is a chronic granulomatous disease caused by Klebsiella rhinoscleromatis. In all thepatients, the nose is affected but sometimes extends to any parts of the airways. Diagnosis of this disease isdone on the basis of the histopathological examination or direct evidence of the bacteria in nasal exudates.The differential diagnoses of the RS are syphilis, malignancy and midline granuloma. Streptomycin is drugof choice, although fluoroquinolones and cephalosporin also provide good results. Surgery is opted in caseof obstruction or deformity. Here, we reported a case of 11-year girl diagnosed as RS on the basis of thehistopathological examination. This case was treated by endoscopic removal of the mass in the nasal cavityfollowed by a course of ciprofloxacin. She was found asymptomatic at the last visit of 1 year after treatmentand there was no evidence of recurrence.
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