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

Laryngotracheobronchial involvement in a patient with nonendemic rhinoscleroma.

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Division of Pulmonary Medicine, Rambam Medical Cente, Haifa, Israel.


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.

[Indexed for MEDLINE]

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