%0 Journal Article %T Rhinoscleroma causing severe bilateral nasal obstruction %A Moraes %A M¨¢rio Augusto Pinto de %A Magalh£¿es %A Albino Ver£¿osa de %A Marinho %A Larissa Cardoso %A Azevedo %A Ana Em¨ªlia Borges de %A Carneiro %A Fabiana Pirani %A Raymundo %A Igor Teixeira %J Brazilian Journal of Infectious Diseases %D 2010 %I Brazilian Society of Infectious Diseases %R 10.1590/S1413-86702010000200015 %X rhinoscleroma is a chronic, infectious and granulomatous disease of the respiratory tract. there is often a delay in diagnosis due to unfamiliarity with the disease and also because culture is not always positive. we report a case in a 26-year-old woman with granular mass obstructing bilateral nasal cavities and causing breathing difficulty. histopathological examination showed characteristic mikulicz histiocytes containing numerous gram-negative intracellular rod-shaped bacilli consistent with the diagnosis of rhinoscleroma. the patient was treated with gemifloxacin and tetracycline and remains asymptomatic over a year follow-up period. it is important to consider rhinoscleroma in cases of chronic nasal obstruction. as culture is not always positive, histopathological examination may be crucial to the diagnosis. %K rhinoscleroma %K nasal obstruction %K histopathology. %U http://www.scielo.br/scielo.php?script=sci_abstract&pid=S1413-86702010000200015&lng=en&nrm=iso&tlng=en