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AJNR - American Journal of Neuroradiology

Published ahead of print on September 28, 2007
doi: 10.3174/ajnr.A0708

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American Journal of Neuroradiology 28:1878-1879, November-December 2007
© 2007 American Society of Neuroradiology

HEAD & NECK

Nasal Septal Abscess in Patients with Immunosuppression

J.M. Debnam^a, A.M. Gillenwater^b and L.E. Ginsberg^a

^a Department of Radiology, The University of Texas M.D. Anderson Cancer Center, Houston, Tex
^b Department of Head and Neck Surgery, The University of Texas M.D. Anderson Cancer Center, Houston, Tex

Please address correspondence and requests for reprints to J. Mathew Debnam, MD, The University of Texas M.D. Anderson Cancer Center, 1515 Holcombe Blvd, Unit 370, Houston, TX 77030; e-mail: matthew.debnam{at}mdanderson.org

BACKGROUND AND PURPOSE: The purpose of this study was to review the imaging findings of nasal septal abscess in 2 patients with immunosuppression.

MATERIALS AND METHODS: Two patients with immunosuppression were identified as having a nasal septal abscess, and correlative CT imaging in both patients was evaluated.

RESULTS: The characteristic radiographic appearance of a nasal septal abscess included a fluid collection with thin rim enhancement, located within the cartilaginous nasal septum. After CT examination, incision and drainage was performed in both patients, and appropriate antibiotic coverage was initiated. Clinical and imaging follow-up demonstrated no signs of residual infection.

CONCLUSION: Nasal septal abscess has a characteristic appearance on CT examination. Prompt diagnosis and treatment, including incision and drainage and appropriate antibiotic coverage, are necessary to avoid serious complications.