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Published on: October 25, 2024
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.
Abstract:
Tubercular infection of the nasal cavity is an infrequently encountered condition. More so, after the discovery of relevant antibiotics, nasal sinus tuberculosis is not commonly seen. Few cases have reported tuberculosis of the paranasal sinuses, nasopharynx and larynx. With the increasing incidence of HIV, these rare forms of infection have started re-emerging. We present a case of a middle aged man presenting with nasal cavity lesion along with pulmonary tuberculosis, which came to light only after the diagnosis of maxillary sinus tuberculosis.
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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