Medical-clinical aspects of chronic atrophic fetid rhinitis. Clinical case

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.