January 1978

Nasal Foreign Body Presenting as an Unusual Odor

Author Affiliations

Naval Regional Medical Center Department of Pediatrics Jacksonville, FL 32214

Am J Dis Child. 1978;132(1):97-98. doi:10.1001/archpedi.1978.02120260099025

Nasal foreign bodies classically present with unilateral, persistent, foul-smelling, purulent, or bloody nasal discharge. The main features of the two cases presented below were the odors.

Report of Cases.—Case 1.–A 5-year-old boy was referred by his school nurse because of "body odor" that disturbed his teacher, drove away his playmates, and caused children in his class to constantly ask, "Where is the bad smell coming from?" A pungent odor permeated the examination room within minutes of the child's entry. He was a clean, happy, developmentally normal boy with no evidence of secondary sexual characteristics. He had no nasal discharge but the inferior turbinate in his left naris appeared larger than the one on the right. While admission for metabolic studies was being arranged, an otolaryngologist was asked to comment on the child's turbinate size. Nasal examination revealed that the "left turbinate" was indeed a foreign body. A 4 × 5-cm