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Every time he blew his nose, the whole room stank
When something stinks our nose is the first to notice it, but what happens when the nose itself is the source of the stench?
This is exactly what happened to a 16-year-old boy whose every nose dessert spread a stench.
It took the doctors a year, but in the end they found the cause
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Nose
Runny nose
Walla!
health
Monday, 08 March 2021, 10:00 Updated: 10:07
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A 16-year-old boy came to the doctor with a strange complaint: every time he blows his nose, he said, a terrible stench spreads in the room.
This was not the first time the boy had come to the doctor with a problem related to his nose.
About a year earlier, at the age of 15, he had come for tests after suffering from nasal congestion and olfactory impairment for several years.
However, apart from these two mild symptoms and some allergies from which the young man suffered, the doctors who examined him determined that he was completely healthy and found nothing that could explain the problems.
He did not suffer from tonsillitis or other ENT disorders, nor did he drink or smoke.
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Doctors even performed an endoscopy in his nasal cavities, but found nothing unusual such as lesions or tumors that might raise concerns.
With no apparent cause for the complaints he came up with, the boy was sent home with a fairly standard treatment of nasal rinses, steroid spray and antihistamines.
The doctors also asked him to come for an examination after 4-6 weeks, but he did not come.
He would blow his nose and the whole room would stink.
A boy blows his nose with a tissue (Photo: ShutterStock)
In a description of the case published in the journal JAMA Otolaryngology-Head & Neck Surgery, doctors note that the boy returned only about a year later, and this time he had a new and intriguing complaint: each time he blew his nose, a foul stench spread through a room emanating from his nose.
Although his nose smelled foul, his breath was actually normal.
The doctors decided to perform a CT scan on him, and then the source of the unpleasant odor began to become clear.
Inside the young man's nose, doctors identified a tiny ball about 9 millimeters in size.
Calcium deposits have accumulated around it, usually caused by a chronic inflammatory process, necrosis or scarring.
All indications are that the spherical bone observed on the CT scan is a foreign body.
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Using a suction device, the doctors gently sucked out the foreign bone, and as a result the area where he was stuck began to bleed.
After they finished stopping the bleeding they turned to look at what came out of the boy's nose.
It was a small metal bullet of an air rifle.
The doctors talked to the patient's parents, and they remembered that he was indeed shot in the nose with a lot of air when he was 8 or 9, and since then the bullet has been stuck in his nose and that is what caused the stench.
How do you forget that a child was shot in the nose with a lot of air?
A boy plays with an air rifle (Photo: ShutterStock)
The boy's parents explained that near the incident in which the child was shot in the air he did not suffer from any visible symptoms and therefore they did not attach importance to the case and did not seek examination or medical treatment.
Nor did they imagine that the problems he began to suffer from at the age of 15 were related to the same forgotten incident 7 years earlier.
Doctors explained that healthy tissue had grown around the bullet and wrapped it, so that even a healthy sneeze would not be able to spew it out and therefore a minimally-invasive surgical intervention was needed to free it from where it got stuck.
The foreign bone caused a blockage in the natural drainage channels of the nose, and behind it accumulated phlegm, runny nose and also debris particles and bacteria inhaled by the boy.
All this understandably caused a very unpleasant odor.
After the bullet was removed from his nose, the boy did not suffer from any symptoms or complications and was released to his home, free to blow his nose without fear of creating odor nuisances wherever he goes and blows.
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