Abstract

Rhinoscleroma is an unusual disease that is seen in many parts of the tropics. It is caused by a bacteria called Klebsiella rhinoscleromatis and can leave the patient with a chronic inflammatory lesion of the upper respiratory airway and much disfigurement. In the age of global migration and travel physicians must learn to recognize this disease especially in immigrants and patents that come from countries endemic of the disease. It is endemic in parts of Mexico, Central and South America, Central and Eastern Europe, Southeast Asia and Africa. Humans are the only identifiable host and the transmission is thought to be airborne. This disease is mostly seen in the poor rural areas of the world where overcrowding and poor hygiene are common.

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