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Case 6B: Tropical Diseases - Rhinoscleroma
A 28 year old female presented with a complaint of bilateral nasal obstruction. The diagnostic nasal examination showed a nodular mass, from which a biopsy was taken and sent for histological examination.
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Figure 1: Intranasal Appearance of
Lesion |
Figure 2: Intranasal Appearance of
Lesion Click on Pictures to Enlarge |
The histopathology revealed large, vacuolated histiocytes called Mikulicz cell and Russell bodies that are large, homogenous, eosinophilic cytoplasmic inclusions inside plasma cells and, hence, the lesion was labeled as Rhinoscleroma (see Figure 3). The debulking of the mass with bilateral insertion of a nasal tube to maintain the patency was done (see Figure 4).
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Figure 3: Histological Appearance |
Figure 4: Post Operative
Appearance of the Patient With Nasal Tubes Click on Pictures to Enlarge |
The patient was given a course of Rifampicin and is following up in our outpatient department on a regular basis and is till now symptom free.
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World Articles in Ear, Nose and Throat
www.waent.org
Jan
27, 2012
Vol 5-1
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