An Unusual Case of a Pediatric Nasal Septal Abscess with Life-Threatening Complications in COVID-19 Pandemic

Maan, Arvinder Singh; Kaur, Gurkiran; Arora, Rabia; Kaur, Jasmeet; Devi, Kamana Jyotsna; Singh, Manjit

doi:10.1007/s12070-020-02264-3

Cited by 11 publications

(9 citation statements)

References 9 publications

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“…The characteristic appearance of NSA on anterior rhinoscopy and nasal endoscopy is septal swelling, usually bilateral due to septal cartilage reabsorption as a consequence of ischaemia and necrosis [10,11]. Our patient's case shows that a timely diagnosis is important in case of NSA because delayed treatment may lead to life-threatening complications such as intracranial abscess or cosmetic deformities [9,[11][12][13]. After appropriate radiological investigation, immediate surgical bilateral drainage of abscess is necessary, along with parenteral antibiotic therapy.…”

Section: Discussionmentioning

confidence: 86%

Nasal Septal Abscess Complicating Acute Sinusitis in an 8-Year-Old Child: A Case Report

Cialente¹,

Vincentiis²,

Santarsiero³

et al. 2021

SCR

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Introduction: Nasal septal abscess (NSA) in the pediatric population is an uncommon condition, but it can cause devastating complications (such as potentially life-threatening intracranial infections and cosmetic nasal deformity). The objective of this study is to report a case of an pediatric patient presenting with NSA in association with frontal-ethmoid acute sinusitis and intracranial abscess. Method and Results: In this study, we report a case of an 8-year-old patient who progressed from spontaneous nasal septal abscess to sinusitis (maxillary, frontal and ethmoidal), cosmetic nasal deformity (destruction of septal cartilage) and intracranial complication. The purulent collection necessitated urgent surgical drainage and adequate medical treatment. Conclusion: Nasal septal abscess in children is a rare condition that necessitates early appropriate drainage in order to prevent severe life-threatening complications. Furthermore, in the growing child, in case of total destruction of the cartilaginous septum, immediate reconstruction with autologous cartilage graft is essential for normal development of the nose and maxilla.

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Section: Discussionmentioning

confidence: 86%

Nasal Septal Abscess Complicating Acute Sinusitis in an 8-Year-Old Child: A Case Report

Cialente¹,

Vincentiis²,

Santarsiero³

et al. 2021

SCR

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“…Any delay may result in septal perforation, saddle nose, or even serious complications, such as meningitis, orbital cellulitis, and thrombophlebitis of cavernous sinus. 1,2,4,11 Abscess is mostly caused by infections by Staphylococcus, methicillin-resistant Staphylococcus aureus, Streptococcus vitifolia, Klebsiella pneumococcus, or Haemophilus influenzae, and occasionally by amoeba and other aseptic factors. 3,5,[12][13][14] Incision and drainage of abscess are required initially, followed by sensitive antibiotics selected according to the results of bacterial culture.…”

Section: Discussionmentioning

confidence: 99%

A Case Report of Spontaneous Nasal Septal Abscess in a Child

Tao

Shi

2021

Ear Nose Throat J

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We describe a case of spontaneous nasal septal abscess (NSA) in a 9-year-old child. We also reviewed the literatures in recent years and summarized the characteristics of NSA, such as gender, age, inducement, pathogenic bacteria, treatment, and prognosis. We found that this boy reported by us has the most extensive abscess. May be the delay of treatment was related to the recent fluctuation of COVID-19 epidemic in China. Fortunately, with the help of surgery and anti-infection treatment, the boy was discharged from the hospital without septal perforation or saddle nose.

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“…Ajeigbe described a serious case of a patient with COVID-19 who developed perivertebral abscess, which was surgically decompressed, and who then developed mediastinitis 3 weeks after discharge from the hospital, requiring re-hospitalisation [9]. Maan described the case of an 11-year-old boy who, as a result of restrictions in access to health care during the COVID-19 pandemic, had progressed inflammation of the atrium and nasal septum and sinusitis, leading to orbital and intracranial complications [10].…”

Section: Discussionmentioning

confidence: 99%

Neck phlegmon in COVID-19 patients

Trybek¹,

Lichota²,

Wilczyński³

et al. 2021

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Reports on patients hospitalised due to inflammatory diseases of the soft tissues in the head suggest worsening of the course of the underlying disease in the case of coexisting infection with the SARS-CoV-2 virus. The cases of 2 patients with neck phlegmon in the course of Coronavirus disease 19 (COVID-19) hospitalised at our Otorhinolaryngological Unit have been presented in the paper. Despite intensive treatment, the disease was fatal in both cases. COVID-19 probably has a significant impact on the course of disease and treatment results in the cases of patients with neck phlegmon. Coexisting diseases may seriously worsen the prognosis in patients with neck phlegmon and COVID-19. Further research is required to explain the mechanism of the impact of SARS-CoV-2 infection on the course of phlegmon in the head and neck region. StreszczenieDoniesienia na temat chorych hospitalizowanych z powodu chorób zapalnych w obrębie głowy i szyi sugerują pogorszenie przebiegu choroby podstawowej w przypadku współistniejącego zakażenia wirusem SARS-CoV-2. W pracy przedstawiono przypadki dwóch chorych z ropowicą szyi w przebiegu choroby koronawirusowej (COVID-19) hospitalizowanych na naszym oddziale otorynolaryngologicznym. Pomimo intensywnego leczenia w obu przypadkach choroba zakończyła się zgonem. COVID-19 prawdopodobnie istotnie wpływa na przebieg choroby i wyniki leczenia u chorych z ropowicą szyi. Choroby współistniejące mogą poważnie pogarszać rokowanie u pacjentów z ropowicą szyi i COVID-19. Konieczne są dalsze badania w celu wyjaśnienia mechanizmu wpływu zakażenia SARS-CoV-2 na przebieg ropowicy w obrębie głowy i szyi.

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An Unusual Case of a Pediatric Nasal Septal Abscess with Life-Threatening Complications in COVID-19 Pandemic

Cited by 11 publications

References 9 publications

Nasal Septal Abscess Complicating Acute Sinusitis in an 8-Year-Old Child: A Case Report

Nasal Septal Abscess Complicating Acute Sinusitis in an 8-Year-Old Child: A Case Report

A Case Report of Spontaneous Nasal Septal Abscess in a Child

Neck phlegmon in COVID-19 patients

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