A CASE OF OZENA IN A REFUGEE CAMP MIGRANT

Öz

Ozena is a type of primary atrophic rhinitis caused by the bacterium Klebsiella pneumoniae ssp. ozaenae. A 45-year-old female patient who had migrated from Syria to Türkiye presented with complaints of foul-smelling rhinorrhea and persistent nasal crusting for several years. On examination, abundant yellow-green crusts, enlarged nasal cavities, and atrophic turbinates and mucosa were observed in both nasal passages. Klebsiella pneumoniae ssp. ozaenae was isolated in the nasal tissue culture. The patient was hospitalized and treated with ceftriaxone and metronidazole for two weeks, as these antibiotics were found to be effective based on culture results. Nasal irrigation with physiological saline and glycerin-based moisturizer was recommended. Additionally, daily nasal crust removal was performed using an endoscope. After discharge, the patient was prescribed ceftriaxone 1 g IM twice daily for two weeks. Regular follow-ups were recommended for the recovering patient.We present this case because the condition is relatively unknown and often diagnosed late.

Anahtar Kelimeler

• Ozaene
• atrophic rhinitis
• Klebsiella pneumoniae ssp. ozaenae

Mülteci Kampında Yaşayan Bir Göçmende Ozaena Olgusu

Öz

Ozaena, Klebsiella pneumoniae’nın ozaenae alttürü bakterisinin neden olduğu bir tür primer atrofik rinittir. Suriye'den Türkiye'ye göç eden 45 yaşında bir kadın hasta, birkaç yıldır kötü kokulu burun akıntısı ve kalıcı burun kabuğu şikayetiyle başvurdu. Muayenede, her iki burun pasajında bol miktarda sarı-yeşil kabuklar, genişlemiş burun boşlukları, atrofik konkalar ve mukoza görüldü. Burun doku kültüründe Klebsiella pneumoniae’nın ozaenae alttürü izole edildi. Hasta hastaneye yatırıldı ve kültür sonuçlarına göre bu antibiyotiklerin etkili olduğu görüldüğünden iki hafta boyunca seftriakson ve metronidazol ile tedavi edildi. Fizyolojik tuzlu su ve gliserin bazlı nemlendirici ile burun irrigasyonu önerildi. Ayrıca, bir endoskop kullanılarak günlük burun kabuğu temizliği yapıldı. Taburcu olduktan sonra hastaya iki hafta boyunca günde iki kez 1 g IM seftriakson reçete edildi. İyileşen hastaya düzenli takipler önerildi. Bu vakayı sunuyoruz çünkü durum nispeten bilinmiyor ve genellikle geç teşhis ediliyor.

Anahtar Kelimeler

• Ozaena
• atrofik rinit
• Klebsiella pneumoniae’nın ozaenae alt türü

Kaynakça

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