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November 22, 1985


Author Affiliations

Ohio State University Columbus

JAMA. 1985;254(20):2893. doi:10.1001/jama.1985.03360200043018

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To the Editor.—  Suppurative reactions to foreign bodies in body orifices are not uncommon, such as food or other objects aspirated by children or vaginal tampons inserted and forgotten.

Report of a Case—  We recently saw an unusual case of an obese 41-year-old man who complained of a malodorous discharge from his navel. He possessed an "inny" that he usually cleaned with a cottontipped applicator. On initial examination, a foul-smelling yellowish-green discharge was noted. The skin that could be observed at the orifice was intact and free of lesions. The navel could admit the entire length of the examiner's index finger, and no lesion was palpated by digital examination. Bacterial and fungal cultures showed no growth. An ointment containing clotrimazole, gentamicin sulfate, and triamcinolone acetonide was prescribed, which was applied with a cotton-tipped applicator. No improvement was observed after one week. The topical therapy was discontinued, and the patient was