Maxillary sinusitis with pulmonary tuberculosis

Rashmi Upadhyay1, Ved Prakash1, Abhishek Bahadur Singh2

  • 1Department of Pulmonary Medicine, King George's Medical University, Lucknow, Uttar Pradesh, India.

BMJ Case Reports
|August 3, 2014
PubMed

Insights

Nasal sinus tuberculosis is rare but re-emerging, especially with HIV. This case highlights a middle-aged man with a nasal cavity lesion initially diagnosed after maxillary sinus tuberculosis was identified.

Area of Science:

  • Otolaryngology
  • Infectious Diseases
  • Pulmonology

Background:

  • Tubercular infection of the nasal cavity is historically uncommon, further reduced by antibiotic availability.
  • While rare, tuberculosis affecting paranasal sinuses, nasopharynx, and larynx has been documented.
  • The rising incidence of Human Immunodeficiency Virus (HIV) is linked to the resurgence of these uncommon tuberculous infections.

Observation:

  • A middle-aged male patient presented with a nasal cavity lesion.
  • The patient was also diagnosed with pulmonary tuberculosis.
  • The nasal cavity lesion was discovered subsequent to the diagnosis of maxillary sinus tuberculosis.

Findings:

  • Maxillary sinus tuberculosis was diagnosed in a middle-aged male patient.
  • The patient presented with a concurrent nasal cavity lesion.
  • Pulmonary tuberculosis was identified in conjunction with the sinus and nasal findings.

Implications:

  • This case underscores the importance of considering tuberculosis in the differential diagnosis of nasal cavity lesions, particularly in the context of HIV.
  • Early diagnosis and treatment of sinonasal tuberculosis are crucial for patient outcomes.
  • The re-emergence of rare tuberculous infections necessitates increased awareness among clinicians.

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