Skip to main content
The Egyptian Journal of Otolaryngology
Download PDF

Sinus involvement in cases of rhinoscleroma: a cause of antibiotic resistance and early recurrence after medical treatment

The Egyptian Journal of Otolaryngology volume 28, pages 8–11 (2012)Cite this article

En

Abstract

Theory

To investigate the true incidence of sinus infection in cases of rhinoscleroma, and the possible role of reinfection from the sinuses to explain recurrence and resistant to treatment in cases of scleroma.

Materials and methods

Twenty-five patients with histologically proved granular rhinoscleroma were included in this cohort prospective study.

Results and conclusion

More than one-third of the cases of rhinoscleroma in our series were associated with histologically proved sinus lesions, and these sinus-positive lesions were associated with resistance to standard medical treatment and with early recurrence.

References

  1. Chan TV, Spiegel JH. Klebsiella rhinoscleromatis of the membranous nasal septum. J Laryngol Otol. 2007; 121: 998–1002

    CAS  Article  PubMed  Google Scholar 

  2. Gaafar HA, Gaafar AH, Nour YA. Rhinoscleroma: an updated experience through the last 10 years. Acta OtoLaryngol. 2011; 131: 440–446

    CAS  Article  PubMed  Google Scholar 

  3. Badrawy R, El Shennawy M. Affection of cervical lymph nodes in rhinoscleroma. J Laryngol Otol. 1974; 88: 261–269

    CAS  Article  Google Scholar 

  4. Badia L, Lund VJ. A case of rhinoscleroma treated with ciprofloxacin. J Laryngol Otol. 2001; 115: 220–222

    CAS  Article  Google Scholar 

  5. Bailhache A, Dehesdin D, François A, Marie JP, Choussy O. Rhinoscleroma of the sinuses. Rhinology. 2008; 46: 338–341

    Google Scholar 

  6. Hoffmann EO, Loose LD, Harkin JC. The Mikulicz cell in rhinoscleroma. Light, fluorescent and electron microscopic studies. Am J Pathol. 1973; 73: 47–58

    CAS  PubMed Central  PubMed  Google Scholar 

  7. Abou Seif SG, Baky FA, El Ebrashy F, Gaafar HA. Scleroma of the upper respiratory passages: A CT study. J Laryngol Otol. 1991;105:198–202

    CAS  Article  Google Scholar 

Download references

Author information

Affiliations

  1. Department of Otolaryngology, Faculty of Medicine, Cairo University, Cairo, Egypt

    Ahmed Atef, Nassim Talaat, Ahmed El Farouk, Mohamed Qotb & Hesham Fathi

  2. Department of Pathology, Faculty of Medicine, Cairo University, Cairo, Egypt

    Shady Ilia

Authors
  1. Ahmed Atef
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Nassim Talaat
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Ahmed El Farouk
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Mohamed Qotb
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Hesham Fathi
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Shady Ilia
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ahmed Atef.

Additional information

Conflicts of interest

There are no conflicts of interest.

Rights and permissions

This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Atef, A., Talaat, N., El Farouk, A. et al. Sinus involvement in cases of rhinoscleroma: a cause of antibiotic resistance and early recurrence after medical treatment. Egypt J Otolaryngol 28, 8–11 (2012). https://doi.org/10.7123/01.EJO.0000411079.83100.c1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.7123/01.EJO.0000411079.83100.c1

Keywords

  • chronic sinusitis
  • granuloma
  • rhinoscleroma
  • rifampicine