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Acne Vulgaris Complicated To Nasal Abscess With Preseptal Cellulitis In A Covid-19 Patient

Author: Ahmad Mahfuz Zamaili

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Abstract

Ahmad Mahfuz Zamaili¹, Sakinah Mohamad¹, Norasnieda Md Shukri¹

 

Coronavirus disease 2019 (COVID-19) pandemic brings a lot of new challenges to physicians particularly post infection sequelae that are still being discovered. We report a rare case of a patient who developed nasal abscess with preseptal cellulitis as a sequelae of acne vulgaris post-COVID-19 infection. A 16-year-old boy with underlying hypertension diagnosed with COVID-19 CAT 4 complicated with cavernous sinus thrombosis with presentation of seizure on admission. He was hospitalized for 2 weeks at the general hospital and was discharged with anticoagulant, anti-epileptic and anti-hypertension. He presented to our institution 3 weeks post hospitalization with a history of acne over the nasal bridge for the past five days. It was excruciating, increasing in size and self-ruptured with pus. His clinical course was complicated with diabetic ketoacidosis with development of nasal abscess complicated with left facial and preseptal cellulitis. Emergency incision and drainage under local anaesthesia were done because of his unstable medical condition and impending fatal intracranial complication. Subsequently, a multi-disciplinary team approach was important given his concurrent medical condition that led to successfully managing nasal abscess and preseptal cellulitis with surgical drainage and antibiotics.

 

Keywords: Nasal abscess; Acne vulgaris; COVID-19; Preseptal cellulitis; Diabetic ketoacidosis.

 

1 Department of Otorhinolaryngology-Head and Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia, Health Campus 16150 Kubang Kerian, Kelantan, Malaysia.

 

Correspondence to: Ahmad Mahfuz Zamaili, Medical Officer, Department of Otorhinolaryngology-Head and Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia Health Campus, 16150 Kubang Kerian, Kelantan, Malaysia, Email: [email protected] 

ORCID ID: https://orcid.org/0000-0002-9419-7072

 

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