A 26-year-old female attended the emergency department of the hospital complaining of a five-day course of nasal soreness, located mainly on the left vestibule and radiating to the nasal dorsum and left maxillary area. The patient reported nasal congestion and crusting on the left nostril as well as progressively worsening redness and erythema covering the left vestibule area and extending to the left cheek. Occasional left nasal purulent discharge was also evident. Clinical examination was challenging due to tenderness, yet anterior rhinoscopy and flexible nasendoscopy revealed evidence of vestibule hair folliculitis and boils in the nasal dorsum, covered by crusting and mucopurulent secretions. A nasal swab was obtained and microbiology depicted positive cultures of Methiciline Sensitive Staphylococcus Aureus (MSSA). The rest of the head and neck examination and examination of the cranial nerves were unremarkable and there was no evidence of bacteremia or neurological deficits. Blood work revealed an anticipated raised of WBC and CRP. The patient was treated with a combination of topical mupirocin ointment and salty water nasal irrigation, as well as intravenous Flucloxacillin (1 g QDS). The initial spread of nasal cellulitis and facial extension was marked, and after 24 hours, a significant clinical improvement of both tenderness and spread of erythema was evident. The patient was switched to oral antibiotics for 2 weeks and the clinical course was uneventful.