Nasal vestibulitis: etiology, risk factors, and clinical characteristics: A retrospective study of 118 cases

Diagn Microbiol Infect Dis. 2017 Oct;89(2):131-134. doi: 10.1016/j.diagmicrobio.2017.06.007. Epub 2017 Jun 30.

Abstract

Background: Nasal vestibulitis (NV) is a common infection; however, scant data is available in the literature as it pertains to NV. We aim to describe the clinical characteristics of NV in respect to its potential complications.

Methods: A retrospective chart review of 118 NV cases admitted to a tertiary medical center between 2008 and 2015.

Results: Identified risk factors for NV included nasal hair plucking (n=15, 14.41%), nose blowing (n=10, 9.32%), nose picking (n=9, 8.47%) and nose piercing (n=5, 3.39%). Twelve patients (10.17%) were diabetic, and 3 patients were immunosuppressed. Mid-facial cellulitis was observed in the majority of patients (78.81%), and abscess of the nasal vestibule was observed in almost half (48.30%). Cultures were taken from 33.33% of patients demonstrated MSSA as the most common isolate (81.25%). No complications were observed.

Conclusion: Even in complicated cases of NV requiring admission, the risk of major complications is extremely low.

Keywords: Abscess; Cellulitis; Infection; Nasal vestibulitis.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Amoxicillin-Potassium Clavulanate Combination / therapeutic use*
  • Anti-Bacterial Agents / therapeutic use*
  • Cellulitis / microbiology
  • Cellulitis / pathology*
  • Child
  • Female
  • Humans
  • Male
  • Middle Aged
  • Nose / microbiology
  • Nose / pathology
  • Respiratory Tract Infections / diagnosis*
  • Respiratory Tract Infections / drug therapy*
  • Respiratory Tract Infections / microbiology
  • Retrospective Studies
  • Risk Factors
  • Tertiary Care Centers
  • Young Adult

Substances

  • Anti-Bacterial Agents
  • Amoxicillin-Potassium Clavulanate Combination