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Chest. 2000 Jun;117(6):1795-8.

Laryngotracheobronchial involvement in a patient with nonendemic rhinoscleroma.

Author information

1
Division of Pulmonary Medicine, Rambam Medical Cente, Haifa, Israel. m_yigla@rambam.health.gov.il

Abstract

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.

PMID:
10858419
[Indexed for MEDLINE]

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