Title : A rare case of nasal cavity tuberculosis
Abstract:
BACKGROUND:
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.
On examination:
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
CONCLUSION:
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
