title: Pediatric atrophic rhinosinusitis: what can we do?
abstract: A 5-year-old female had history of chronic foul smelling nasal discharge. Rhinoscopy showed greenish crusts lining the nasal cavities and inferior turbinates were shriveled significantly. Nasal cavity cultures of crusts by swab revealed Klebsiella ozaenae making the diagnosis of primary atrophic rhinosinusitis. After several unsuccessful treatment, we have decided to try sulfamethoxazole-trimethoprim prophylaxis and 1 year later there was a complete clinical improvement. There are many medical therapies and surgical options described, but none of them showed effective at long term. We present antibiotic prophylaxis as a viable alternative for long term control of the disease.
authors: Department of Otolaryngology, Pedro Hispano Hospital, Matosinhos, Portugal. Electronic address: mota.clara@gmail.com.
authors: Clara
authors: C
authors: Magalhães
authors: Department of Otolaryngology, Pedro Hispano Hospital, Matosinhos, Portugal.
authors: Miguel
authors: M
authors: Viana
authors: Department of Pathology, Pedro Hispano Hospital, Matosinhos, Portugal.
authors: Valquíria
authors: V
authors: Alves
authors: Department of Otolaryngology, Pedro Hispano Hospital, Matosinhos, Portugal.
authors: Roberto
authors: R
authors: Nakamura
authors: Department of Otolaryngology, Pedro Hispano Hospital, Matosinhos, Portugal.
authors: Delfim
authors: D
authors: Duarte
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001284:Atrophy / Q000473:pathology; D002675:Child, Preschool; D004724:Endoscopy; D005260:Female; D006801:Humans; D007710:Klebsiella Infections / Q000188:drug therapy* / Q000473:pathology; D009296:Nasal Cavity / Q000473:pathology; D012220:Rhinitis / Q000188:drug therapy* / Q000382:microbiology / Q000473:pathology*; D012852:Sinusitis / Q000188:drug therapy* / Q000382:microbiology / Q000473:pathology*; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000627:therapeutic use; D014420:Turbinates / Q000473:pathology
chemical_list: D000900:Anti-Bacterial Agents; D015662:Trimethoprim, Sulfamethoxazole Drug Combination
keywords: Atrophic rhinosinusitis; Child; Chronic disease