[Wegener's granulomatosis of the nasal fossa].
A 62-year-old female patient consulted for a suppurative-hemorrhagic nasal condition 18 months evolution. Exploration found granulomatous rhinitis which was producing septal perforation and histology compatible with necrotizing granulomatous vasculitis, fulfilling the diagnostic criteria for focal Wegener's granulomatosis, in view of the absence of lung and renal damage. Treatment with trimethoprim-sulfamethoxazole alone described in the medical literature as an option for this process, yielded excellent results with remission of symptoms and normalization of the exploration.
Ibáñez-Bermúdez
F
F
Servico de Medicina Interna, Hospital Infanta Margarita, Cabra (Córdoba).
Castillo Ceballos
A
A
Gallardo Avila
A
A
Pérez Benítez
T
T
Criado Montilla
J
J
Martínez García
R C
RC
D000890:Anti-Infective Agents / Q000627:therapeutic use*; D004844:Epistaxis / Q000209:etiology; D005260:Female; D015726:Giant Cells / Q000473:pathology / Q000648:ultrastructure; D014890:Granulomatosis with Polyangiitis / Q000150:complications / Q000188:drug therapy* / Q000473:pathology; D006801:Humans; D008875:Middle Aged; D010256:Paranasal Sinuses / Q000473:pathology / Q000648:ultrastructure; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000627:therapeutic use*
D000890:Anti-Infective Agents; D015662:Trimethoprim, Sulfamethoxazole Drug Combination
Granulomatosis de Wegener localizada en fosas nasales.