Rare Spontaneous Development of Nasal Septal Abscess in End-stage Kidney Disease

Authors

  • Paolo Nikolai H. So Philippine General Hospital
  • Jan Alexeis C. Lacuata
  • Rey Jaime M. Tan

DOI:

https://doi.org/10.47895/amp.vi0.3049

Keywords:

nasal septal abscess, chronic kidney disease, hemodialysis, diabetes mellitus

Abstract

The spontaneous development of a nasal septal abscess in patients with chronic kidney disease is hardly described in the literature. A 58-year-old man with long-standing type 2 diabetes mellitus and a history of rectal adenocarcinoma was admitted for resection of tumor recurrence. He was initiated on hemodialysis post-operatively due to worsening kidney function. He was discharged on thrice-weekly dialysis but was readmitted two months after for progressive shortness of breath. Further examination revealed severe nasal congestion from a nasal septal abscess which prompted mouth-breathing. Incision and drainage and anterior nasal packing were done, and the patient was discharged improved on broad-spectrum oral antibiotics. This case report highlights the possibility of developing nontraumatic nasal infections in patients with chronic kidney disease due to compromised host defenses.

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Published

2022-07-15

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Section

Articles

How to Cite

1.
Rare Spontaneous Development of Nasal Septal Abscess in End-stage Kidney Disease. Acta Med Philipp [Internet]. 2022 Jul. 15 [cited 2025 Apr. 4];56(12). Available from: https://actamedicaphilippina.upm.edu.ph/index.php/acta/article/view/3049