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العنوان
A Survey for Klebsiella Rhinoscleromatis among University Students; And an Attempt to Fulfil KOCH’S Postulates /
الناشر
Emad Hamdy Mohamed Ismail,
المؤلف
Ismail, Emad Hamdy Mohamed
هيئة الاعداد
باحث / عماد حمدى محمد إسماعيل
مشرف / أحمد عبد المنعم عبد الباقى
مشرف / محمد إبراهيم بسيونى
الموضوع
E.N.T Klebsiella Rhinoscleromatis
تاريخ النشر
1996 .
عدد الصفحات
193 p. :
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
الحنجرة
تاريخ الإجازة
1/1/1996
مكان الإجازة
جامعة المنيا - كلية الطب - قسم الأنف والأذن والحنجرة
الفهرس
Only 14 pages are availabe for public view

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Abstract

The aim of the present work is:
1- To study the klebsiella rhinoscleromatis bacilli and the frequency with which it occurs in normal individuals and in patients diagnosed clinically as having rhinoscleroma.
2- To demonstrate the effect of experimental intranasal inoculation of klebsiella rhinoscleromatis bacilli in healthy animals.
Conclusions:
This study supports the widely favoured bacterial theory. Klebsiella rhinoscleromatis could be isolated in all cases of the untreated group; however, the poor isolation rate of the organisms in others could be due to the previous treatment taken by the patients. The failure to isolate Klebsiella rhinoscleromatis in the study of 400 apparently healthy individuals supports the contention that it is not a normal commensal; the 5 normal individuals who give positive isolates for Klebsiella rhinoscleromatis could be considered as carriers to the disease.
Using the organism satisfying the currently accepted criteria of Klebsiella rhinoscleromatis isolated from a patient with rhinoscleroma, detectable pathology was produced by intranasal inoculation in rabbits and guinea pigs. The lesion produced was a chronic granulomatous process with many of the features of human scleroma. Attempts to recover the organism from the experimentally induced lung lesions were successful. By these studies we believe Koch’s postulates have tentatively been fulfilled and that Klebsiella rhinoscleromatis bears an aetiological relationship to scleroma. Ultimate proof of the relationship, however, rests in the reproduction of the disease in humans.