%0 Journal Article %T Rinoescleroma Rhinoscleroma %A John Segura-V赤lchez %A Paulina Gonz芍lez-Rojas %A Lissette Retana-Moreira %J Acta M谷dica Costarricense %D 2013 %I Colegio de M谷dicos y Cirujanos de Costa Rica %X Paciente masculino de 19 a os de edad, proveniente de zona rural, con cuadro cl赤nico de 3 a os de oclusi車n nasal, episodios de inflamaci車n facial, epistaxis, rinorrea f谷tida, hipoacusia derecha, adenopat赤as faciales m迆ltiples y axilares bilaterales; fue referido al Hospital M谷xico por una lesi車n granulomatosa obstructiva del tabique nasal. Una biopsia inicial revel車 la presencia de tejido con infiltrado inflamatorio cr車nico, con predominio de macr車fagos de aspecto espumoso. Una segunda biopsia fue positiva por Klebsiella pneumoniae subsp. rhinoscleromatis, y por anatom赤a patol車gica se describi車 una hiperplasia pseudoepiteliomatosa y en l芍mina propia denso infiltrado inflamatorio con base en linfocitos, c谷lulas plasm芍ticas, cuerpos de Russell y macr車fagos con citoplasma vacuolado, con presencia de microorganismos y detritos. El paciente recibi車 terapia con ciprofloxacina v赤a oral por siete meses, con lo cual resolvi車 desde el punto de vista etiol車gico. The case of a 19-year-old male patient from a rural area is presented. He had a 3-year history of nasal obstruction, episodes of facial inflammation, epistaxis, fetid rhinorrhea, hearing loss in the right ear, bilateral axillary and multiple facial bilateral lymphadenopathies. He was referred for consultation to the Mexico Hospital due to an obstructive granulomatous lesion of the nasal septum. The first biopsy revealed the presence of chronic inflammatory infiltrate, with predominance of macrophages with foamy appearance. A second biopsy was positive for Klebsiella pneumoniae subsp. rhinoscleromatis, described histologically as a pseudoepitheliomatouse hyperplasia with dense inflammatory infiltrate and the analysis of lamina propria showed dense inflammatory infiltrate with lymphocytes, plasmatic cells, Russell bodies and macrophages with vacuolated cytoplasm, with microorganisms and debris. The patient was treated with oral ciprofloxacin therapy for seven months, after which the patient was considered cured from the etiological point of view. %K Klebsiella %K enfermedad granulomatosa %K cr車nica %K biopsia %K Klebsiella %K chronic granulomatose disease %K biopsy. %U http://www.scielo.sa.cr/scielo.php?script=sci_arttext&pid=S0001-60022013000100010