U3F1ZWV6ZTYzMDQ3MjM2NjJfQWN0aXZhdGlvbjcxNDIzODIzNjY5
recent
Latest

Furunculosis of the nasal vestibule: causes, diagnosis, complications, treatment

Definition: Acute staphylococcal infection of a hair follicle in the vestibule of the nose (hair bearing area).

Etiology: It may be due to:
a) Mechanical trauma as in nose picking.
b) Lowered immunity as in diabetics, long term steroids and agranulocytosis.
Furunculosi-nasal-vestibule

Clinical picture of nasal furunculosis

Symptoms:

  • Pain
  • Swelling at the tip of the nose.

Signs:

  • The furuncle is seen in the vestibule of the nose as a firm, tender, red, hot nodule with surrounding edema.
  • Later, it enlarges and becomes more painful and fluctuant and it may show pointing.
  • Multiple and recurrent furunculosis is usually seen in diabetics.

Complications of nasal furunculosis:

The majority of cases show spontaneous discharge in the vestibule and resolve but occasionally complications may occur, and these include:
  • Facial cellulitis.
  • Septal abscess.
  • Cavernous sinus thrombosis: the nose lies in the dangerous area of the face. Retrograde thrombophlebitis can occur through the facial vein, then through the ophthalmic veins to the cavernous sinus.
    nasal-furunculosis

Treatment of Furunculosis of the nasal vestibule:

  1. Systemic antibiotics.
  2. Local antibiotic cream.
  3. Analgesics.
  4. Local moist heat.

N.B.: Squeezing of a nasal furuncle should be avoided to prevent the occurrence of cavernous sinus thrombosis.
Edit Post
author-img

Dr.Tamer Mobarak

Comments
    No comments
    Post a Comment

    Post a Comment

    Please note that we will be notified by e-mail about your comment , So be careful .
    Any medical questions will be answered .

    NameEmailMessage