Ömer BAYIR, Gökçe AKSOY YILDIRIM, Güleser SAYLAM, Elvan YÜKSEL, Ali ÖZDEK, Mehmet Hakan KORKMAZ

Mukoselin eşlik ettiği Cedecea davisae nedeniyle gelişen atrofik rinit

Atrofik rinit, ilerleyici nazal mukozal atrofi ile karakterize kronik enflamatuvar bir hastalıktır. Nadir bir patojen olan Cedecea davisae, Enterobacteriaceae ailesinin yeni üyesidir. Bu yazıda, kültür testi Cedecea davisae gösteren bir atrofik rinit hastası sunuldu. Hasta eşlik eden posterior etmoid mukosel nedeniyle ameliyat edildi. İki ay levofloksasin ve nazal irigasyon uygulandı. Ameliyat sonrası altıncı ayda hastanın yakınma ve nazal bulgularında belirgin düzelme görüldü. Sonuç olarak, bu hastada Cedecea davisae’nin atrofik rinite ve mukosele neden olduğu düşünüldü. Hasta basit tedavi ile iyileşti. Bu bakteriler atrofik rinitin nedensel bir ajanı olarak dikkate alınmalıdır

Anahtar Kelimeler:

Atrofik rinit, Cedecea davisae, endoskopik sinüs cerrahisi, mukosel

Atrophic rhinitis caused by Cedecea davisae with accompanying mucocele

Atrophic rhinitis is a chronic inflammatory disease characterized by progressive atrophy of nasal mucosa. Cedecea davisae, a rare pathogen, is a new member of Enterobacteriaceae family. In this article, we report a patient with atrophic rhinitis whose culture test revealed Cedecea davisae. The patient was operated due to accompanying posterior ethmoid mucocele. Levofloxacin and nasal irrigation were administered for two months. Significant improvement was observed in patient’s complaints and nasal signs at postoperative sixth month. In conclusion, Cedecea davisae has been thought to cause atrophic rhinitis and mucocele in this patient. Patient recovered with simple treatment. These bacteria should be kept in mind as a causative agent for atrophic rhinitis.

Keywords:

Atrophic rhinitis, Cedecea davisae, endoscopic sinus surgery, mucocele,

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Druce HM. Chronic rhinitis. Allergy Proc 1990;11:295-8.
Arrué P, Kany MT, Serrano E, Lacroix F, Percodani J, Yardeni E, et al. Mucoceles of the paranasal sinuses: uncommon location. J Laryngol Otol 1998;112:840-4.
Kennedy DW, Josephson JS, Zinreich SJ, Mattox DE, Goldsmith MM. Endoscopic sinus surgery for mucoceles: a viable alternative. Laryngoscope 1989;99:885-95.
Akinosoglou K, Perperis A, Siagris D, Goutou P, Spiliopoulou I, Gogos CA, et al. Bacteraemia due to Cedecea davisae in a patient with sigmoid colon cancer: a case report and brief review of the literature. Diagn Microbiol Infect Dis 2012;74:303-6.
Ismaael TG, Zamora EM, Khasawneh FA. Cedecea davisae’s Role in a Polymicrobial Lung Infection in a Cystic Fibrosis Patient. Case Rep Infect Dis 2012;2012:176864.
Mawardi H, Pavlakis M, Mandelbrot D, Woo SB. Sirolimus oral ulcer with Cedecea davisae superinfection.Transpl Infect Dis 2010;12:446-50.
Peretz A, Simsolo C, Farber E, Roth A, Brodsky D, Nakhoul F. A rare bacteremia caused by Cedecea davisae in patient with chronic renal disease. Am J Case Rep 2013;14:216-8.
Shehata MA. Atrophic rhinitis. Am J Otolaryngol 1996;17:81-6.
Chen HS. Desquamation and squamotransformation of rhinomucosa as a prodromal sign of atrophic rhinitis. ORL J Otorhinolaryngol Relat Spec 1984;46:327-8.
Dutt SN, Kameswaran M. The aetiology and management of atrophic rhinitis. J Laryngol Otol 2005;119:843-52.