Primary nasal tuberculosis presenting with septal perforation.
Tuberculosis is a serious, worldwide health problem that affects people in many developing countries. The acquired immunodeficiency syndrome epidemic and the development of antibiotic-resistant strains of mycobacteria have contributed to the increasing international incidence of tuberculosis in recent years. Yet, extrapulmonary tuberculosis remains comparatively rare. We present the case of a 44-year-old laborer who complained of bilateral nasal obstruction and postnasal drip for many years. Endoscopic examination disclosed septal perforation with marginal crusting. A biopsy of the marginal tissue was performed and Ziehl-Neelsen staining revealed acid-fast bacilli. Subsequent to a 6-month course of antituberculous medication, the perforation remained, but the crusting subsided.
Department of Otorhinolaryngology, Cheng-Ching Hospital, Chung-Kang Branch, Taichung, Taiwan. lotuslai.tw@yahoo.com.tw
Ting-Yun
TY
Lai
Po-Jen
PJ
Liu
Lai-Ping
LP
Chan
D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D006801:Humans; D008297:Male; D009300:Nasal Septum / Q000293:injuries* / Q000382:microbiology; D009668:Nose Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology*; D014376:Tuberculosis / Q000175:diagnosis* / Q000188:drug therapy
D000995:Antitubercular Agents