title: Primary Tuberculosis of Nose Causing Bilateral Nasal Obstruction and Halitosis in a 25-Year-Old Woman.
abstract: Primary or secondary nasal tuberculosis is rare and usually, it is considered as an extra pulmonary form of tuberculosis. Nasal tuberculosis infection may spread to maxillary palatal region by contagious or haematogenous route causing palatal perforation. In some instance, it may cause septal perforation with nasal obstruction which may give rise to halitosis. We report a case where, there was bilateral nasal mucosal involvement leading to severe nasal obstruction. This rare manifestation should be considered in areas where the disease is prevalent as delay in diagnosis and treatment could lead to serious and life threatening complications due to local spread from the nose to the para nasal sinuses and brain.
authors.affiliation: Assistant Professor, Department of ENT, Institute of Social Obstetrics and Kasturba Gandhi Hospital for Women and Children , Chennai, India .
authors.forename: Leena
authors.initials: L
authors.lastname: Rajam
authors.affiliation: Senior Lecturer, Department of Oral Medicine and Radiology, Saveetha Dental College and Hospital , Chennai, India .
authors.forename: M Hari
authors.initials: MH
authors.lastname: Kumar
authors.affiliation: Consultant Dental Surgeon, Dr. Hari's Dental and ORO Care , Nagercoil, Tamil Nadu, India .
authors.forename: Sabitha Hari
authors.initials: SH
authors.lastname: Kumar
keywords: Biopsy; Caseating granuloma; Culture; Diagnostic nasal endoscope