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Published on: June 20, 2018
[Nasal septal abscess]
María F Barril1, Fausto M Ferolla, Pablo José
1Clínica Pediátrica, Hospital de Niños Dr. Ricardo Gutiérrez, Buenos Aires.
Abstract:
A nasal septal abscess (NA) is defined as a collection of pus between the cartilage or bony septum and its normally applied mucoperichondrium or mucoperiostium. It is an uncommon disease which should be suspected in a patient with acute onset of nasal obstruction and recent history of nasal trauma, periodontal infection or an inflammatory process of the rhinosinusal region. We report a case of an 8-year-old boy with bilateral NA caused by community-acquired methicillin-resistant Staphylococcus aureus(MR-CO) in order to emphasize the importance of prompt diagnosis and adequate treatment to prevent the potentially dangerous spread of infection and the development of severe functional and cosmetic sequelae.
Insights
Nasal septal abscesses are uncommon infections requiring prompt diagnosis. Early treatment of this pus collection in the nasal septum is crucial to prevent serious complications.
Area of Science:
- Otolaryngology
- Infectious Diseases
- Pediatrics
Background:
- A nasal septal abscess (NA) is a rare condition involving pus accumulation within the nasal septum.
- It often presents with acute nasal obstruction, potentially linked to trauma or sinonasal inflammation.
- Suspecting NA is vital in patients with relevant histories.
Observation:
- This report details an 8-year-old boy with bilateral nasal septal abscesses.
- The infection was caused by community-acquired methicillin-resistant Staphylococcus aureus (MRSA).
Findings:
- Bilateral nasal septal abscesses were diagnosed in an pediatric patient.
- Community-acquired MRSA was identified as the causative pathogen.
Implications:
- Prompt diagnosis and effective treatment of nasal septal abscesses are essential.
- Timely intervention can prevent severe functional and cosmetic sequelae.
- This case highlights the importance of considering MRSA in sinonasal infections.
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