Primary nasal Tuberculosis — A case report

Mohan Kameswaran1, R. S. Anand Kumar1, Sathiya Murali1, S. Raghunandan1, P. Vijaya Krishnan1
1Madras ENT Research Foundation, Raja Annamalaipuram, India

Tóm tắt

During the past two decades, Tuberculosis — both pulmonary and extrapulmonary have re-emerged as a major health problem worldwide. Nasal tuberculosis may be primary, or secondary to pulmonary tuberculosis or facial lupus. However all of them are rare entities. Nasal tuberculosis should be considered in the differential diagnosis of chronic nasal granulomas. We report a case of primary nasal tuberculosis in an adult female who presented with a polypoidal lesion in the nasal cavity. The diagnosis was based upon smear study, histopathology, culture & polymerase chain reaction. The patient successfully responded to antituberculous therapy and is presently disease free. Given the resurgence of tuberculosis in recent times, it is important that otolaryngologists remain aware of this rare clinical entity.

Tài liệu tham khảo

Cantwell MF, Snider DE, Cauthen GM, Onorato IM: Epidemiology of tuberculosis in the United States, 1985 through 1992. JAMA 1994;272:535–539. Williams RG, Douglas-Jones T: Mycobacterium marches back. J Laryngol Otol 1995;109:5–13. Al-Serhani AM: Mycobacterial infection of the head and neck: Presentation and diagnosis. Laryngoscope 2001;111:2012–2016.0 Cleary KB, Batsakis JG: Mycobacterial disease of the head and neck: Current perspective. Ann Otol Rhinol Laryngol 1995;104:830–833. Butt AA: Nasal tuberculosis in the 20th century. Am J Med Sci 1997;313:332–335. Sim DW, Crowther JA: Primary nasal tuberculosis masquerading as a malignant tumour. J Laryngol Otol 1988;102:1150–1152. Johnson IJ, Soames JV, Marshall HF: Nasal tuberculosis — An increasing problem? J Laryngol Otol 1995;109:326–327. Springett V, Darbyshire J, Nunn A, Sutherland I: Changes in tuberculosis notification rates in the white ethnic group in England and Wales 1953–1982. J Epidemiol Commun Health 1988;42:370–376. Blanco Aparicio M, Verea-Hernando H, Pombo F: Tuberculosis of the nasal fossa manifested by a polypoid mass. J Otolaryngol 1995;24:317–318. Choi YC, Park YS, Jeon EJ, Song SH: The disappeared disease: Tuberculosis of the nasal septum. Rhinology 2000;38:90–102. Jha D, Deka RC, Sharma MC: Tuberculosis of the maxillary sinus manifesting as a facial abscess. Ear Nose Throat J 2002;81:102–104. Hughes RG, Drake-Lee A: Nasal manifestations of granulomatous disease. Hosp Med 2001;62:417–421. Duzgun N, Duman M, Sonel B, Peksari Y, Erdem C, Tokgoz G: Lupus vulgaris in a patient with systemic lupus erythematosus and persistent IgG deficiency. Rheumatol Int 1997;16:213–216. Hup AK, Haitjema T, de Kuijper G: Primary nasal tuberculosis. Rhinology 2001;39:47–48. Kapur V, Li L-L, Hamrick MR, Plikaytis BB, Shinnick TM, Telenti A, Jacobs WR, Banerjee A, Cole S, Yuen KY, Clarridge JE III, Kreiswirth BN, Musser JM: Rapid Mycobacterium species assignment and unambiguous identification of mutations associated with antimicrobial resistance in Mycobacterium tuberculosis by automated DNA sequencing. Arch Pathol Lab Med 1995;119:131–138. American Thoracic Society, Centers for Disease Control: Treatment of tuberculosis and tuberculosis infection in adults and children. Am J Respir Crit Care Med 1994;149:1359–1374. Waldman SR, Levine HL, Sebek BA, et al. Nasal tuberculosis: A forgotten entity. Laryngoscope 1981;91:11–16. Butt AA. Nasal tuberculosis in the 20th century. Am J Med Sci 1997;313:332–335.