A Case of Fungal Nasal Septal Abscess in the Immunocompromised Patient / 대한이비인후과학회지

ABSTRACT

Nasal septal abscess is the result of trauma to the nose with septal hematoma and subsequent infection. Proper management of a nasal septal abscess requires prompt diagnosis, adequate surgical drainage, and antibiotics to prevent the potentially dangerous spread of infection and the development of severe functional and cosmetic sequelae. In the immunocompromised patient, nasal septal abscess can occur without trauma and can rapidly progress to a state of life threatening complication. We had experienced a case of fungal nasal septal abscess without antecedent trauma in immunocompromised kidney transplantation patient. Through prompt incision and drainage and appropriate antifungal agent, the infection was resolved without complication. In the immunocompromised patients, it is important to recognize the potential for the immunocompromised condition to influence the development of septal abscess and the alternate pathogens like fungus.