Özet:

Atrophic rhinitis is an atrophy of the nasal mucous and conca, a rare chronic infection seen with adhesive and bad odor secretion, crude formation, nasal cavity expansion and paradoxal nasal conjection. Primary and secondary forms are described. Primary atrophic rhinitis has previously developed in a healthy nose while secondary atrophic rhinitis often develops after broad sinus surgery, nasal trauma, chronic granulomatosis diseases. In the physical examination of the maturity in the anterior rinoscope, a common crude and purple, yellow-dark green flow was detected in the nasal cavity. In the aerodynamic culture made of nose flow material, the automated bacterial identification and sensitivity system (Phoenix 100) was defined by Klebsiella ozaenae, Stapylococcus aureus; in aneeropic culture Actinomyces naeslundii. Klebsielle ozaenae found negative to all other antibiotics that were tested with only ampisiline resistance and expanded spectrum beta-lactamate (GSBL). Staphylocccus aureus sefazolin, clindamisin, erythromycin, fusic acid, meropenem, oxasilin, penicillin G and ampisiline were found resistant. Actinomyces naeslundii, with the E-test method, metronidazole-resistant, moksifloksacin and meropenema-sensitive, beta-non-lactative test found negative. Atrophic rhinitis developing in male patients at the age of ten with clinical, microbiological and pathological characteristics presented was discussed in the literature associated with the subject.