6523 - Bacterial rhinitis

DBQ: Link to Index of DBQ/Exams by Disability for DC 6523

Definition

Bacterial rhinitis is defined as edema and dilatation of the blood vessels (vasodilation) of the nasal mucous membrane, with nasal discharge and nasal obstruction. The condition can be acute or chronic.

Etiology

The condition may be caused by streptococcal, pneumococcal, or staphylococcal infections. Chronic rhinitis may also occur in syphilis, tuberculosis (TB), rhinoscleroma, rhinosporidiosis, leishmaniasis, blastomycosis, histoplasmosis, and leprosy.

Signs & Symptoms

The signs and symptoms of the common cold are usually present; acute inflammation of the nasal mucous membrane with profuse nasal discharge. There is also nasal obstruction, purulent rhinorrhea, and frequent bleeding. Rhinoscleroma causes progressive nasal obstruction. Bleeding polyps are a symptom of rhinosporidiosis.

Tests

Laboratory tests are done to identify the causative bacteria by culture and antibiotic sensitivities.

Treatment

The goal of treatment is to relieve symptoms by appropriate antimicrobial drugs with limited usage, no more than seven days, of topical vasoconstrictors, or systemic sympathomimetic amines.

Residuals

Rhinoscleroma may cause progressive nasal obstruction from inflammatory tissue. There may be repeated episodes that require treatment.

Special Considerations

  • Consider entitlement to service connection based on presumed exposure to fine particulate matter under 38 CFR 3.320

Notes

  • None.