Evan Laveman, MD Emergency Medicine PGY3
Kelly Kelley, MSN, RN, CPNP, CNS
Christopher Redgate, MD, MS, PEM Fellow PGY6
Pediatric Emergency Department, Department of Emergency Medicine, Harbor-UCLA
16-year-old male with no past medical history presented to the Pediatric Emergency Department (PED) for 4 months of nasal congestion worsening over the past month. He immigrated from Honduras with his father 20 days ago and over this time noticed a decreased ability to breath through his nose. Most troubling, he started to develop foul smelling nasal discharge mainly through his left nare. His only medical contact had been at a U.S. clinic when he first arrived where he was prescribed a nasal spray and cetirizine with no relief. He felt moderate sinus pressure but denied weight loss, fevers, chills, headache or vision changes.