From the Research
The treatment for an intranasal furuncle typically involves a combination of antibiotics, warm compresses, and proper nasal hygiene, with the goal of preventing morbidity, mortality, and improving quality of life. According to the most recent and highest quality study 1, the management of nasal septal abscesses, which can be related to intranasal furuncles, requires prompt recognition and treatment to prevent long-term sequelae.
- Oral antibiotics that cover Staphylococcus aureus, such as dicloxacillin 500 mg four times daily, cephalexin 500 mg four times daily, or clindamycin 300 mg three times daily for 7-10 days, are the mainstay of treatment.
- For MRSA concerns, trimethoprim-sulfamethoxazole or doxycycline may be used.
- Topical mupirocin 2% ointment can be applied inside the nose three times daily for 5-7 days.
- Warm compresses should be applied to the affected area for 15-20 minutes several times daily to help bring the furuncle to a head and promote drainage.
- Patients should avoid squeezing or attempting to pop the furuncle as this can spread infection.
- Nasal saline irrigation can help keep the area clean.
- Pain management with acetaminophen or ibuprofen is often necessary.
- Medical attention should be sought immediately if there are signs of spreading infection such as facial swelling, fever, or severe pain, as intranasal furuncles in the "danger triangle" of the face can potentially lead to serious complications like cavernous sinus thrombosis if left untreated, as highlighted in 2 and 3. The aggressive approach is necessary because the nose's rich blood supply can allow infections to spread rapidly to critical areas, as noted in 4 and 5.