A 52-year-old male patient presented to a physician with a lesion in the right nostril . Past History The patient had an extensive history of being exposed to the sun He had a history of 35 pack-year smoking Pathological Examination The lesion was present in the right upper medial nasal vestibule which was examined by an otolaryngologist The otolaryngologist sent a bacterial culture of the lesion which was reported to be negative.
He further reported the lesion as “no lesion of the nose’’ Treatment Offered The patient was treated with Mupirocin ointment A follow-up visit was scheduled after a few days After 6 months of initial consultation and treatment The patient returned to the otolaryngologist clinic without any improvement and further reddening of the exterior tip of the nose A second bacterial culture was advised which was reported as negative An empiric course of…
