ISSN - 0973-0958

Pediatric Oncall Journal View Article

Unilateral nasal discharge in children - what should we think?
Teresa Tavares1, Bebiana Sousa1, José Fernandes2, Margarida Paiva Coelho1.
1Department of Pediatrics, Centro Materno-Infantil do Norte, Centro Hospitalar Universitário de Santo António (CHUdSA), Largo do Professor Abel Salazar, Porto, Portugal,
2Department of Otorhinolaryngology, Centro Hospitalar Universitário de São João (CHUSJ), Alameda Prof Hernani Monteiro, Porto, Portugal.
Abstract
Introduction: Nasal vestibulitis is a localized infection of the nasal vestibule, mainly caused by Staphylococcus aureus.
Case Presentation: A healthy, 18-month-old girl presented with a 3-day history of unilateral discharge in the right eye and brownish rhinorrhea with visible dry blood only in the right nasal cavity. The anterior rhinoscopy showed unilateral hematic remains, preserved nasal permeability and no visible foreign body. The diagnosis of nasal vestibulitis was made and she was treated with topical and systemic antibiotics, with no sequelae.
Conclusion: Nasal vestibulitis is a common condition that should be considered in all age groups. Serious complications can occur, making a timely diagnosis and adequate treatment crucial.
Why this article important?
This manuscript is a case report about a young child with nasal vestibulitis. This is an often overlooked diagnosis, which can have very serious complications if left untreated. Nasal vestibulitis is a common condition that should be considered in all age groups. It can be treated with topical and/or systemic antibiotics. When left untreated or treated inadequately, nasal vestibulitis may progress to cellulitis and intracranial complications, making a timely diagnosis and adequate treatment crucial. Thus, this case report reinforces the importance of a high level of suspicion, since the symptoms might not be obvious and can sometimes be misleading, to avoid complications.
Summary of article
This manuscript is a case report about a young child with nasal vestibulitis. This is an often overlooked diagnosis, which can have very serious complications if left untreated. Nasal vestibulitis is a common condition that should be considered in all age groups. It can be treated with topical and/or systemic antibiotics. When left untreated or treated inadequately, nasal vestibulitis may progress to cellulitis and intracranial complications, making a timely diagnosis and adequate treatment crucial. Thus, this case report reinforces the importance of a high level of suspicion, since the symptoms might not be obvious and can sometimes be misleading, to avoid complications.

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