Title : A rare case of nasal cavity tuberculosis
Nasal cavity tuberculosis is rare, but it can be caused by either a pulmonary disease or retrograde involvement of the nose by lupus vulgaris of the facial skin. Here we are going to present a rare case of nasal cavity tuberculosis.
PRESENTATION AND MANAGEMENT:
A 60 years old female who is a k/c/o systemic hypertension admitted with complaints of right sided nasal obstruction and bleeding from right nasal cavity for 6 months and headache for 3 months. CT PNS reported possibility of malignancy and Rhinosporidiosis.
Anterior rhinoscopy- fleshy ,pink,polypoidal mass seen in right nasal cavity,septum free
Posterior rhinoscopy- no significant abnormality
Excision biopsy done, specimen sent for HPE and gene Xpert
On histopathological examination- Caseating granulomatous lesion noted
Gene Xpert-MTB detected,rif sensitive. Anti tuberculosis therapy started
Although nasal tuberculosis is rare, it should be considered in the differential diagnosis of the patients with chronic nasal symptoms, ulcerative and polypoidal lesions of the nose.
Key words: Nasal cavity, tuberculosis, polypoidal lesions