White scum-like nasal discharge

Introduction White sputum-like nasal sputum is often caused by cheese rhinitis, and has a foul odor. Checking the middle nasal passages with okara-like substances, may be associated with granulation tissue, and purulent nasal discharge. The cheese sample is a semi-solid yellowish unstructured structure composed of amorphous debris such as pus cells, necrotic tissue, exfoliated epithelium, stearin, a small amount of cholesterol and calcium salt crystals; among them, fungi such as white streptomyces may be present. Microorganisms such as diphtheria, occasionally see foreign bodies, nose stones or dead bones. On one side, the disease is slow. The main symptoms are progressive nasal obstruction, purulent nasal discharge, a small amount of nosebleeds, decreased sense of smell and dizziness, headache, loss of appetite. If invading the sphenoid sinus, it can damage vision and cranial nerve palsy.

Cause

Chronic purulent inflammation of the nasal cavity or nose, nasal obstruction, poor drainage of secretions, and then cheese-like necrosis and purulent secretions in the mucosa, eventually resulting in the accumulation of cheese-like substances in the nasal cavity or sinus.

an examination

Related inspection

Nasal examination sinus examination

Check the accumulation of cheese in the nasal cavity, perforation of the nasal septum, deformation of the external nose, displacement of the eyeball, visible anterior wall of the maxillary sinus or hard fistula. In the early X-ray film, the sinus was uniformly blurred, and in the advanced stage, sinus cavity enlargement and bone destruction were observed. Biopsy only shows chronic inflammation. The pathological changes of the nasal mucosa vary depending on the severity of the disease. Inflammatory infiltration and hyperplasia occur in mild cases, mucosal degeneration, necrosis and granulation hyperplasia occur in severe cases, and bone destruction, external nasal deformation or fistula formation.

Differential diagnosis

If it is green and has a special odor, it is characterized by atrophic rhinitis and stinky nose. Diagnosis of caseous rhinitis should be differentiated from malignant granuloma and malignant tumors, specific granulomas.

The cheese sample is a semi-solid yellowish unstructured structure composed of amorphous debris such as pus cells, necrotic tissue, exfoliated epithelium, stearin, a small amount of cholesterol and calcium salt crystals; among them, fungi such as white streptomyces may be present. Microorganisms such as diphtheria, occasionally see foreign bodies, nose stones or dead bones. The pathological changes of the nasal mucosa vary depending on the severity of the disease. Inflammatory infiltration and hyperplasia occur in mild cases, mucosal degeneration, necrosis and granulation hyperplasia occur in severe cases, and bone destruction, external nasal deformation or fistula formation.

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