Complication by rhinogenic sepsis after insertion of a Bellocq's tampon: case report.
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We report a case of complication by rhinogenic sepsis after insertion of a Bellocq' s tampon. The patient was a 48-year-old man with a diagnosis of right nasal hemorrhage. The Bellocq' s tampon was inserted and hemostasis was achieved. The patient developed a fever the day after the Bellocq' s tampon was inserted. Antibiotics were administered, but his condition failed to improve. The fever persisted even after the Bellocq' s tampon was removed, and there was purulent nasal fluid on the right. Drug-resistant Staphylococcus aureus was detected by bacterial examination of the nasal fluid, and a paranasal sinus CT scan examination revealed a fluid level and inflammatory picture in the right maxillary sinus, ethmoid sinus, and sphenoid sinus. The drug-resistant Staphylococcus aureus was also detected by blood bacterial cultures. A diagnosis of nasal sepsis was made, and endoscopic endonasal sinus surgery was performed. Since all of the bacteria retrieved from the preoperative nasal fluid and blood cultures and intraoperatively from the ethmoid sinus were Staphylococcus aureus and they exhibited the same drug sensitivity and resistance, they were concluded to be the identical bacteria. On postoperative day 2 the fever resolved, four consecutive blood bacterial studies were negative, and the patient was discharged in good general condition. After discharge he returned to his normal routine. A sinus CT scan study 3 months postoperatively did not reveal any evidence of inflammation, and the wound area had healed well. No recurrences have been observed to date.
- 日本鼻科学会の論文
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