DOI: 10.36347/sjams.2021.v09i05.006

Pages: 654-657

Rhinoscleroma is a chronic granulomatous disease of the upper airways. Several predisposing factors such as living under conditions of poor hygiene and nutritional deficiencies have been described and are apparently necessary for transmission of the disease. The diagnosis is histological and the treatment is based on surgical debridement and long-term antibiotic therapy. We report the case of a 33-year-old female patient who presented a unilateral nasal obstruction, with chronic rhinorrhea, intermittent epistaxis, and anosmia. The clinical exam found a deformation of the nasal pyramid, a septal deviation, and an anterior nasal mass. The CT-scan of the paranasal sinuses shows a lesional process centered on the left nasal cavity with lysis of the nasal septum and turbinates. An endonasal endoscopic complete exeresis was realized. The histological study returned in favor of a granulomatous inflammatory process of the nasal cavity responding to a rhinoscleroma.