Skip to main content

Abstract

Nasal soft tissue infections usually manifests as a simple, localized infection of the vestibule or nasal tip and is typically due to common bacterial skin flora such as Staphylococcus aureus. The nose, with its hair-bearing regions anteriorly, is conducive to both bacterial colonization and infection. Although nasal vestibulitis has not been mentioned much in the literature, nasal bacterial colonization has be extensively studied in an effort to understand and reduce the incidence of both community acquired and hospital acquired soft tissue infections that may have its bacterial origins in the flora of the anterior nasal cavity. Colonization with S. aureus, both methicillin-susceptible and methicillin-resistant, has been shown to have a three to six time increased risk of health-care associated infection when compared to intermittent or non-carriers of S. aureus. Treatment with intranasal topical mupirocin has been shown to be effective for decolonization as well as for resolution of active infection. This chapter will briefly touch upon diagnosis and treatment of nasal vestibulitis with a detailed focus on the role of nasal carriage on infections caused by bacteria such as S. aureus.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Wertheim HF, Melles DC, Vos MC, van Leeuwen W, van Belkum A, Verbrugh HA, Nouwen JL. The Role of nasal carriage in Staphylococcus aureus infections. Lancet Infect Dis. 2005;5(12):751–62.

    Article  PubMed  Google Scholar 

  2. Önerci TM. Nasal vestibulitis and nasal furunculosis and mucormycosis. In: Önerci TM, editor. Diagnosis in otorhinolaryngology. Berlin: Springer; 2010. p. 69–71.

    Chapter  Google Scholar 

  3. Çevik C, Yula E, Yengil E, Gülmez Mİ, Akbay E. Identification of nasal bacterial flora profile and carriage rates of methicillin-resistant Staphylococcus aureus in patients with allergic rhinitis. Eur Arch Otorhinolaryngol. 2014;271(1):103–7.

    Article  PubMed  Google Scholar 

  4. Fairbanks DN. Pocket guide to antimicrobial therapy in otolaryngology—head and neck surgery. 13th ed. Alexandria: The American Academy of Otolaryngology—Head and Neck Surgery Foundation; 2007.

    Google Scholar 

  5. Wang MB. Etiologies of nasal symptoms: an overview. In: Feldweg AM, Corren J editors. UpToDate. UpToDate: Waltham. Accessed 16 Oct 2014.

    Google Scholar 

  6. Rudramurthy M, Sumangala B, Honnavar P, Madhav YB, Munegowda KC, Ravi D, Chakrabarti A. Nasal vestibulitis due to Nocardiopsis dassonvillei in a diabetic patient. J Med Microbiol. 2012;61(Pt 8):1168–73.

    CAS  PubMed  Google Scholar 

  7. Lim RS, Flatman S, Dahm MC. Sinonasal melioidosis in a returned traveler presenting with nasal cellulitis and sinusitis. Case Rep Otolaryngol. 2013;2013:920352.

    PubMed Central  PubMed  Google Scholar 

  8. Soto LE, Bobadilla M, Villalobos Y, Sifuentes J, Avelar J, Arrieta M, Ponce de Leon S. Post-surgical nasal cellulitis outbreak due to Mycobacterium chelonae. J Hosp Infect. 1991;19(2):99–106.

    Article  CAS  PubMed  Google Scholar 

  9. Dahle KW, Sontheimer RD. The Rudolph sign of nasal vestibular furunculosis: questions raised by this common but under-recognized nasal mucocutaneous disorder. Dermatol Online J. 2012;18(3):6.

    PubMed  Google Scholar 

  10. Davis KA, Stewart JJ, Crouch HK, Florez CE, Hospenthal DR. Methicillin-resistant Staphylococcus aureus (MRSA) nares colonization at hospital admission and its effect on subsequent MRSA infection. Clin Infect Dis. 2004;39(6):776–82.

    Article  PubMed  Google Scholar 

  11. Fritz SA, Krauss MJ, Epplin EK, Burnham CA, Garbutt J, Dunne WM, Hunstad DA, Storch GA. The natural history of contemporary Staphylococcus aureus nasal colonization in community children. Pediatr Infect Dis J. 2011;30(4):349–51.

    Article  PubMed Central  PubMed  Google Scholar 

  12. Hidron AI, Kourbatova EV, Halvosa JS, Terrell BJ, McDougal LK, Tenover FC, Blumberg HM, King MD. Risk factors for colonization with methicillin-resistant Staphylococcus aureus (MRSA) in patients admitted to an urban hospital: emergence of community-associated MRSA nasal carriage. Clin Infect Dis. 2005;41(2):159–66.

    Article  PubMed  Google Scholar 

  13. van Belkum A, Verkaik NJ, de Vogel CP, Boelens HA, Verveer J, Nouwen JL, Verbrugh HA, Wertheim HF. Reclassification of Staphylococcus aureus nasal carriage types. J Infect Dis. 2009;199(12):1820–6.

    Article  PubMed  Google Scholar 

  14. Zafar U, Johnson LB, Hanna M, Riederer K, Sharma M, Fakih MG, Thirumoorthi MC, Farjo R, Khatib R. Prevalence of nasal colonization among patients with community-associated methicillin-resistant Staphylococcus aureus infection and their household contacts. Infect Control Hosp Epidemiol. 2007;28(8):966–9.

    PubMed  Google Scholar 

  15. Bode LG, Kluytmans JA, Wertheim HF, Bogaers D, Vandenbroucke-Grauls CM, Roosendaal R, Troelstra A, Box AT, Voss A, van der Tweel I, van Belkum A, Verbrugh HA, Vos MC. Preventing surgical-site infections in nasal carriers of Staphylococcus aureus. N Engl J Med. 2010;362(1):9–17.

    Article  CAS  PubMed  Google Scholar 

  16. Scully BE, Briones F, Gu JW, Neu HC. Mupirocin treatment of nasal staphylococcal colonization. Arch Intern Med. 1992;152(2):353–6.

    Article  CAS  PubMed  Google Scholar 

  17. Chambers 3rd HF, Winston LG. Mupirocin prophylaxis misses by a nose. Ann Intern Med. 2004;140(6):484–5.

    Article  PubMed  Google Scholar 

  18. Hayden GD, Pastore PN, Kundert K. Abscess of the nasal septum and orbital cellulitis in an infant. AMA Arch Otolaryngol. 1950;52(5):773–5.

    Article  CAS  PubMed  Google Scholar 

  19. DeWeese DD. “Letters to the editor”. Treatment for nasal vestibulitis. Arch Otolaryngol. 1962;76(2):99.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ronald J. Vilela M.D. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Vilela, R.J. (2016). Nasal Soft Tissue Infections. In: Valdez, T., Vallejo, J. (eds) Infectious Diseases in Pediatric Otolaryngology. Springer, Cham. https://doi.org/10.1007/978-3-319-21744-4_6

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-21744-4_6

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-21743-7

  • Online ISBN: 978-3-319-21744-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics