Atraumatic Infected Septal Hematoma in a Pediatric Patient

Autor: Osher Shefer, Jacqueline Le, Eshaan Daas, Eugene Hu
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Clinical Practice and Cases in Emergency Medicine, Vol 8, Iss 3, Pp 311-313 (2024)
Druh dokumentu: article
ISSN: 2474-252X
DOI: 10.5811/cpcem.19476
Popis: Case Presentation: We present a case of a 10-year-old male who developed an atraumatic, nasal septal hematoma with abscess following several days of rhinorrhea and cough. His chief complaint to the emergency department was a two-day history of nasal swelling and discomfort, associated with difficulty breathing through his nose. The patient was well-appearing with swelling and tenderness along the external nasal ridge and nasal septal swelling that occluded both nares. Contrast-enhanced maxillofacial computed tomography revealed a rim-enhancing, fluid-filled collection to the anterior nasal septum. The patient underwent successful incision and drainage by otolaryngology. Discussion: Infected septal hematomas are rare but important to recognize as they can result in septal deformity and potentially life-threatening sequelae, such as intracranial infections. Most are secondary to nasal trauma in adult patients. This case highlights a unique presentation of atraumatic septal hematoma with abscess formation in an immunocompetent pediatric patient.
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