Abstract:
Chronic atrophic fetid rhinitis (ozaena) takes important place among other forms of chronic
atrophic rhinitis. It has, mostly, progressive flow, that leads to complete atrophy of mucous
membrane and skeleton of nose, also the appearance of unpleasant smell and establishment of
irreversible lowering of sense of smell. Denotation and presentation of some medical-clinical aspects
of chronic fetid rhinitis and elaboration the diagnostic's algorithm of patients with such pathology.
This advanced work is integral, descriptive research based on an analysis and synthesis of official
autochthonous medical information and international periodicals. The significance and research
importance corroborates with demonstration of clinical case. A man, European, 48 years, complaints
on: breach of nasal breathing from crusts which hard separate, anosmia, presence of unpleasant smell
on distance according to other people. A patient was exposed casually. From anamnesis - patient is ill
more than 25 years, accepted treatment irregularly, his son suffers from similar disease. Laboratory
indexes have shown: Hb - 126 g/I, Er - 4,3x1012/1, i/c - 0, 87, Fe serum - 2, 4 umol/1. On the basis of
clinical and paraclinical facts the final clinical diagnosis was proposed: Chronic fetid rhinitis. Ozaena
is widespread pathology and family cases are characteristic for such disease. Patients with this
pathology do not apply for medical help long time and remain unnoticed. There are some difficulties
of diagnostic of disease, as cultivation of Klebsiella ozaenae requires special conditions and
instruction of medical personnel.
