PMID- 27988261
DCOM- 20171116
LR  - 20171128
IS  - 0736-4679 (Print)
IS  - 0736-4679 (Linking)
VI  - 52
IP  - 4
DP  - 2017 Apr
TI  - Spontaneous Nasal Septal Abscess Presenting as a Soft Tissue Mass in a Child.
PG  - e129-e132
LID - S0736-4679(16)31009-5 [pii]
LID - 10.1016/j.jemermed.2016.10.049 [doi]
AB  - BACKGROUND: Nasal septal abscess (NSA) is a rare condition most commonly seen as 
      a complication of nasal trauma. The diagnosis of NSA requires emergent treatment,
      because delayed management can result in significant morbidity. Typically, NSA
      presents as a purulent collection that can be managed with drainage, either
      surgically or at bedside. CASE REPORT: We report an unusual presentation of a
      spontaneous NSA in a 7-year-old boy as a solid nasal mass eroding the nasal
      septum. The solid, tumor-like nature of the mass necessitated intervention beyond
      drainage and was ultimately excised. Imaging initiated in the emergency
      department revealed a partially cystic mass and erosion of the septum, which was 
      key to the diagnosis. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Given 
      the ease with which a diagnosis of NSA may be missed and the need for urgent
      management upon diagnosis of a NSA, we aim to highlight the clinical, radiologic,
      and histopathologic aspects that aid in diagnosis of NSA. Imaging, obtaining
      culture results, and initiation of antibiotics are paramount in management. In
      addition, NSAs may also necessitate bedside drainage given their emergent nature.
CI  - Copyright (c) 2016 Elsevier Inc. All rights reserved.
FAU - Cai, Yi
AU  - Cai Y
AD  - Columbia University College of Physicians and Surgeons, New York, New York.
FAU - Saqi, Anjali
AU  - Saqi A
AD  - Department of Pathology and Cell Biology, Columbia University Medical Center, New
      York, New York.
FAU - Haddad, Joseph Jr
AU  - Haddad J Jr
AD  - Department of Otolaryngology/Head and Neck Surgery, Columbia University Medical
      Center, New York, New York.
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20161214
PL  - United States
TA  - J Emerg Med
JT  - The Journal of emergency medicine
JID - 8412174
RN  - 0 (Anti-Bacterial Agents)
RN  - 157044-21-8 (piperacillin, tazobactam drug combination)
RN  - 6Q205EH1VU (Vancomycin)
RN  - 804826J2HU (Amoxicillin)
RN  - 87-53-6 (Penicillanic Acid)
RN  - X00B0D5O0E (Piperacillin)
SB  - IM
MH  - Abscess/mortality/*surgery
MH  - Amoxicillin/pharmacology/therapeutic use
MH  - Anti-Bacterial Agents/pharmacology/therapeutic use
MH  - Child
MH  - Emergency Service, Hospital/organization & administration
MH  - Epistaxis/etiology
MH  - Fever/etiology
MH  - Humans
MH  - Magnetic Resonance Imaging/methods
MH  - Male
MH  - Methicillin-Resistant Staphylococcus aureus/pathogenicity
MH  - Nasal Septum/*abnormalities/diagnostic imaging
MH  - Penicillanic Acid/analogs & derivatives/pharmacology/therapeutic use
MH  - Piperacillin/pharmacology/therapeutic use
MH  - Rupture, Spontaneous/*etiology
MH  - Tomography, X-Ray Computed/methods
MH  - Vancomycin/pharmacology/therapeutic use
OT  - nasal septal abscess
OT  - pediatric
EDAT- 2016/12/19 06:00
MHDA- 2017/11/29 06:00
CRDT- 2016/12/19 06:00
PHST- 2016/06/11 00:00 [received]
PHST- 2016/09/25 00:00 [revised]
PHST- 2016/10/03 00:00 [accepted]
PHST- 2016/12/19 06:00 [pubmed]
PHST- 2017/11/29 06:00 [medline]
PHST- 2016/12/19 06:00 [entrez]
AID - S0736-4679(16)31009-5 [pii]
AID - 10.1016/j.jemermed.2016.10.049 [doi]
PST - ppublish
SO  - J Emerg Med. 2017 Apr;52(4):e129-e132. doi: 10.1016/j.jemermed.2016.10.049. Epub 
      2016 Dec 14.