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Clinical Challenge
February 18, 2021

A Mysterious Odor After Nose Blowing

Author Affiliations
  • 1Joe R. & Teresa Lozano Long School of Medicine, The University of Texas Health Science Center, San Antonio
  • 2Division of Pediatric Otolaryngology, Department of Otolaryngology–Head and Neck Surgery, Joe R. & Teresa Lozano Long School of Medicine, The University of Texas Health Science Center, San Antonio
JAMA Otolaryngol Head Neck Surg. 2021;147(5):479-480. doi:10.1001/jamaoto.2020.5628

A healthy 15-year-old male patient presented with several years of bilateral congestion and hyposmia. He and his family denied facial trauma, recent or recurrent sinusitis, rhinorrhea, difficulty breathing, pain, change in vision, and constitutional symptoms. He had never had allergy testing but did have occasional allergic symptoms, including sneezing and itchy eyes and nose. He did not report any drug, alcohol, or tobacco use. He was developmentally normal. On physical examination, the patient appeared healthy and had a normal-sounding voice. The tonsils were small, without crypts or tonsilloliths, and there were no neck masses.

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    1 Comment for this article
    Incorrect reading of CT sinuses
    Ronald Kirkland, MD, MBA | Retired
    "The results of the computed tomography scan showed clear sinuses" is obviously an incorrect statement.