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September 7, 1979

Nasal Foreign Bodies and Bromidrosis

Author Affiliations

Southern Illinois University School of Medicine Quincy

JAMA. 1979;242(10):1031. doi:10.1001/jama.1979.03300100013005

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To the Editor.—  The article by Katz et al (241:1496, 1979) on body odor as a presenting symptom of nasal bodies in children may be misleading.As a medical student I was asked to evaluate the case of a young girl with bad breath whose mother would not bring the child into the examination room until she had explained the situation to me. This girl had had foul breath odor for three to four weeks, and her mother had tried all forms of mouth washes and gargles. As the child entered the room, an extremely fetid odor could be appreciated from a full 5-m distance. The odor was so strong that only by diligent inspection could one determine that it primarily emanated from the mouth.On examination, a small purulent area was noted in one nostril, and with pickups, a rolled-up piece of school notebook paper was found, measuring approximately