Nasal septal abscess caused by anaerobic bacteria of oral flora

Although nasal septal abscess (NSA) was formerly common, it has become rare since the development of antibiotics. NSA, if left untreated, can lead to intracranial complications such as meningitis and eventually result in saddle-nose deformity. NSA often occurs after injury, and indigenous skin bacte...

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Bibliographic Details
Published in:Auris, nasus, larynx nasus, larynx, 2019-02, Vol.46 (1), p.147-150
Main Authors: Hyo, Yukiyoshi, Fukushima, Hisaki, Harada, Tamotsu, Hara, Hirotaka
Format: Article
Language:English
Subjects:
Anaerobic bacteria
Nasal septal abscess
Oral flora
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Summary:Although nasal septal abscess (NSA) was formerly common, it has become rare since the development of antibiotics. NSA, if left untreated, can lead to intracranial complications such as meningitis and eventually result in saddle-nose deformity. NSA often occurs after injury, and indigenous skin bacteria such as Staphylococcus aureus are frequently detected. We treated a patient who had injured the upper alveolus in a fall on the stairs and developed NSA two weeks later. Anaerobic bacteria, including Veillonella parvula and Peptostreptococcus sp., were detected. Symptoms were relieved by needle and incisional drainage. Our patient represents a very rare case of NSA in terms of the cause of onset and the detected bacteria. Early drainage can result in good outcomes.
ISSN:0385-8146
1879-1476
DOI:10.1016/j.anl.2018.05.014