The doctor cannot forget that the patient's nose smells like a “dead rat,” as looking at it increases his fear. The nurse suddenly vomited!

Horrible! The doctor told me about a memorable case. The patient's nose smells like a “dead rat”, but looking inside is even more frightening. The nurse couldn't hold back her vomiting.


Dr. Wu Zhaoguan
Director of Zhaoquan Ear, Nose and Throat Clinic based in Taiwan. In a guest appearance on the medical program “Doctor Is So Hot,” he recounted a case that left such a deep impression on him that he said: “I have to say this is the biggest case in over 20 years of being a doctor. I'll probably never forget it.”

The doctor described the case of a 50-year-old man who owned a restaurant in Taichung. On the doctor's registration form, he wrote the reason he wanted to perform a nasal examination: “People around me said my nose is too sensitive. Do you want to know if I'm really special? Or they said the wrong thing. As soon as he read this letter, his curiosity was immediately piqued. Although this patient registered for testing outside of business hours. It is not his work time anymore but he decided to discuss the matter with his colleagues. To participate in studying this issue as well

Dr. Wu said so “The patient is a tall man. The eyes are very fierce. He was wearing a double-layer mask, and as soon as he entered the private examination room, he covered his nose and complained of the smell of a dead mouse. He complained that the cleanliness in our clinic was very poor. Outside the waiting area there was a smell of rotting fish and rotting garbage. This closed room, the smell was stronger. It's like the smell of a dead and rotting rat. I, another doctor and two nurses in the room were shocked. Because we also smelled a very bad smell. But it came from the fever of the man who had just entered.

As soon as the patient took off the mask in preparation for the nasal examination, the four medical staff in the room could not help but hide their fear. The pregnant nurse rushed outside and vomited. Because the smell that came out of his nose was terrible. But Mr. Lam himself did not know. I always thought his nose was too sensitive. He can smell scents that others have difficulty detecting. He felt a much stronger smell than usual. He was very proud because he thought he had a special nose.

Severe rhinitis Smells like a dead mouse. Due to improper cleaning

Dr. Wu continued “When examining the patient’s nose endoscopically, we found that both nostrils were filled with pus and yellow mucus. Deep in the left nasal cavity there was a large pile of black crusts mixed with pus and blood. Due to severe inflammation, the distinctive thing was that his nose hair was very clean. When I asked in more detail about “Their hygiene habits, I was surprised again.”

The patient seems to have a habit of trimming his nose hair regularly. By cutting it very close to the skin. The most important point is small scissors. The tool he uses to trim nose hair is also the tool he uses. “Cut the skin off your feet.” He often wore sandals for many years. Because of the nature of his work, he developed corns and foot fungi. Therefore, scissors are often used to cut calluses and areas of skin affected by fungi. Use the same scissors to trim nose hair without cleaning it well. But wipe with toilet paper only once.

This behavior causes the fungi to enter the nasal cavity, causing “fungi mass” It grows in the nose, causing sinusitis due to fungi mixed with bacteria. The skin is broken with scissors. He smelled like dead rats, but he had been sick for the six months and didn't know the smell was coming from his body. He often thinks that restaurant staff are bad at cleaning and blames them. So one of the employees wisely advised, let him try to check his nose. Because his nose is very sensitive. So he agreed to come this time to discover the cause of the rotting smell.

When the truth was learned from a medical expert, the patient felt very embarrassed. He felt guilty for wrongly blaming the employee and then was very active in coordinating antibiotic treatment. Surgery to remove the fungus and rinse the sinuses properly. As a result, the symptoms improved after about one month.

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