To the Editor.—
I was pleased to read the short report by Katz et al, "Unusual Presentation of Nasal Foreign Bodies in Children," which appeared in The Journal. The authors reported three cases of generalized body odor secondary to these foreign bodies, which occurred in their office practice in a one-year period. As they point out, this presentation may lead to considerable delay in diagnosis and expense in workup if it is not recognized.Unfortunately, as noted by the authors, this association has received little notoriety. Golding1 reported a similar case in 1965 under the title of "An Unusual Cause of Bromidrosis." Bromidrosis refers to fetid or foul-smelling perspiration. Another case was reported in Clini-Pearls in 1978.2Although Katz et al have not described a new association, their report is still timely, interesting, and important for all physicians caring for children.
Tunnessen WW. Nasal Foreign Bodies and Bromidrosis. JAMA. 1979;242(10):1031. doi:10.1001/jama.1979.03300100013007