References:
1 Umphress B, Raparia K. Rhinoscleroma. Arch Pathol Lab Med
2018;142:1533–1536.
2 Awad O, Zaky E, Talaat M. Correlation Between Nasal and Laryngeal
Lesions of Rhinoscleroma in Patients of Upper Egypt. J Voice 2020.
doi:10.1016/j.jvoice.2020.07.017.
Figure 1. Laryngeal mass in a gentleman in his early 50s. Top
left. Direct laryngoscopic image of supraglottic larynx showing an
irregular ulcerative mass. Top right. Axial CT images taken after the
patient’s tracheostomy was completed. Emphysematous changes in the soft
tissue are the result of the surgical procedure. Nasogastric tube can
be seen in the esophagus. There is a mass visible in the supraglottic
larynx (arrows) that is causing narrowing of the airway. Bottom. On
microscopy, H&E (left) and Gram (right) stains show rare Mikulicz cells
containing intracellular bacteria (gram negative rods on the Gram
stain).