Case report of necrotizing pneumonia complicating a nasal phlegmon

Acute purulent inflammatory processes of the soft tissues of the external nose deserve special attention in clinical practice, considering their potential for diverse clinical manifestations such as furuncles, carbuncles, abscesses, cellulitis, and erysipelas. These pathologies are associated with an elevated risk of generalized infection, which can lead to life-threatening complications including intracranial and orbital complications, Lemierre’s syndrome, sepsis, and septic embolism. The article describes the mechanism of complication development related to septic emboli, the stepwise progression of symptoms, and the possible challenges in diagnosis and treatment that may be encountered based on a clinical case study. The article describes a clinical case of a 43-year-old patient who developed a nasal phlegmon complicated by septic embolic pneumonia with multiple lung abscesses and bilateral pleuritis after self-removal of a pustule on the wing of his nose. The development of such a complication in an otherwise healthy individual highlights the significance of topographic-anatomical features of this region and the high likelihood of systemic complications when medical assistance is delayed. Despite initial treatment, symptom progression and the emergence of secondary foci of purulent infection following changes in therapeutic strategy and successful surgical debridement of the primary infection site emphasize the need for a multidisciplinary approach, dynamic assessment of clinical and laboratory data, and additional diagnostic methods to ensure timely detection of complications. This case underscores the danger of self-intervention in facial skin infections and the necessity of early medical consultation. Timely diagnosis, adequate antibiotic therapy, and surgical intervention are key factors for successful treatment and prevention of life-threatening complications.

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