Laryngotracheobronchial involvement in a patient with nonendemic rhinoscleroma

被引：31

作者：

Yigla, M

Ben-Izhak, O

Oren, I

Hashman, N

Lejbkowicz, F

机构：

[1] Rambam Med Ctr, Div Pulm Med, IL-31096 Haifa, Israel

[2] Rambam Med Ctr, Dept Pathol, IL-31096 Haifa, Israel

[3] Rambam Med Ctr, Infect Dis Unit, IL-31096 Haifa, Israel

[4] Rambam Med Ctr, Microbiol Lab, IL-31096 Haifa, Israel

[5] Technion Israel Inst Technol, Rambam Med Ctr, Haifa, Israel

[6] Technion Israel Inst Technol, Fac Med, Haifa, Israel

来源：

CHEST | 2000年 / 117卷 / 06期

关键词：

lung; rhinoscleroma; upper airways obstruction;

D O I：

10.1378/chest.117.6.1795

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

We report the first ease 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.

引用

页码：1795 / 1798

页数：4

共 11 条

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ALTMANN G, 1977, ISRAEL J MED SCI, V13, P62

[3]

AMOILS GP, 1996, ANN OTOL LARYNGOL, V106, P336

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