Abstract
Klebsiella rhinoscleromatis, the causative agent of rhinoscleroma, is a Gram-negative, facultative intracellular, non-motile, encapsulated bacillus. The organism has a very low infectivity necessitating a chronic exposure for infection. Prevalence is also high in developing countries like India. The factors responsible for this are attributed to poor hygiene, poor access to medications and overcrowded living conditions.1 Though entire respiratory mucosa can be affected, the organism has an affinity for nasal mucosa and thus nasal cavity is the most prevalent site accounting for 95–100 % of cases. In decreasing order of involvement nasopharynx (18 – 43 %), larynx (15 – 40 %), trachea (12 %) and bronchi (2 – 7 %) are the other sites.2 Our patient had bilateral nasal obstruction and discharge since 6 months as the only presenting complaint. Clinically there was no evidence of lymphadenopathy, but the CT scans of the paranasal sinuses showed heterogeneously ill-defined mass in the posterior nasal cavity, raising suspicion of a malignancy. Hence the case was further investigated.
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