Two cases of nasal septal abscess associated with ulcerative colitis

Abstract

A nasal septal abscess is a rare disease that causes nonspecific symptoms, such as nasal obstruction and fever. A delayed diagnosis leads to serious complications, including external nose deformities, such as saddle nose, intracranial infection, and sepsis. Therefore, an early diagnosis and early initiation of treatment are important. We herein present two cases of nasal septal abscess. Abscess formation was observed in the anterior nasal septum in both cases. The symptoms improved after incision, drainage of the abscess, and the systemic administration of antibiotics. In case 2, recurrence of the abscess was observed, but it was cured by the readministration of antibiotics. The causative bacteria were not identified in either of the two cases. The coexistence of ulcerative colitis in both cases suggested the possibility that aseptic abscesses may occur as a complication of ulcerative colitis.