Acquired Bromhidrosis in an 8-Year-Old Boy Secondary to a Nasal Foreign Body

Abstract

To the Editor.— A healthy 8-year-old white boy was referred by his pediatrician for a 1-month history of generalized foul body odor. His mother noted that the odor, which smelled like feces, seemed to originate from his sweat because it was accentuated after exercise and lingered on articles of clothing. It was so distasteful that even she was unable to get close to him at times, and he was being rejected by his peers at school. Indeed, on physical examination the child emanated a sour, putrid odor from all regions of his skin, especially flexural areas. During the examination the child volunteered the following question: Do you think it has anything to do with the chair stuffing I put up my nose? At that time a mass was noted to be impacted high in the right nostril. He was referred to an otolaryngologist who removed a foul smelling foam-rubber mass