A five-year-old girl presented to our hospital with fever, pain, and three days of nose swelling and seven days of facial swelling. On examination, there was swelling on her right nasal vestibule with purulent discharge and crusting. There was erythematous swelling on the right side of her face along with preseptal cellulitis of the right eye Figure 1. A coronal computed tomography scan showed a nasal furuncle and preseptal cellulitis Figure 2.
Image Diagnosis: Nasal Furunculosis—A Dangerous Nose Infection
Cellulitis literally means inflammation of the cells. Cellulitis affects the tissue just below the surface of the skin. Cellulitis can affect any part of the body and nasal cellulitis refers to the inflammation of cells in the nose. It is contagious. Moreover, if left untreated, the veins inside the nose can lead the infection to the brain that may cause severe life threatening medical conditions. Although, death is very rare, it should not be ruled out.
Your nasal vestibule is the area inside your nostrils. It marks the beginning of your nasal passages. Nasal vestibulitis refers to an infection in your nasal vestibule, usually due to excessive nose blowing or picking.
Cellulitis is usually caused when bacteria enter a wound or area where there is no skin. The most common bacteria that cause cellulitis include:. Staph and strep bacteria are commonly found on the skin and mucous membranes of the mouth and nose in healthy people. The infection happens when there is a break in the skin that allows the bacteria to enter.