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Images of Memorable Cases: Case 54

Module by: Herbert L. Fred, MD, Hendrik A. van Dijk. E-mail the authorsEdited By: Frederick Moody

http://rup.rice.edu/memcases-button.jpg

Case_54-pres1-1.jpg Case_54-pres1-2.jpg

This 14-year-old girl from El Salvador presented with a one-year history of throat discomfort and nasal stuffiness.

A chronic, progressive infection of the upper airways caused by Klebsiella rhinoscleromatis. Biopsies of the cobblestone-like masses in her oropharynx and nasal passages showed granulomatous inflammation; culture of the specimens grew the causative organism. Treatment requires surgical debridement and prolonged antibiotic therapy. Most cases occur in developing countries, but because of recent immigration patterns, the incidence of this disease in the United States is increasing.

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A lens is a custom view of the content in the repository. You can think of it as a fancy kind of list that will let you see content through the eyes of organizations and people you trust.

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