Primary nasal tuberculosis due to inoculation by nasal picking: a case report

Authors

  • Ravi Sachidananda Department of ENT, People tree Hospitals, Bangalore, Karnataka, India
  • Nithya Venkataramani Department of ENT, People tree Hospitals, Bangalore, Karnataka, India
  • Suraksha Rao Department of Pathology, People tree Hospitals, Bangalore, Karnataka, India
  • Pradeep Ishwarappagol Department of Pulmonology, People tree Hospitals, Bangalore, Karnataka, India
  • Vivek Gundappa Department of Pulmonology, People tree Hospitals, Bangalore, Karnataka, India
  • Saikiran Shankarnarayan Department of Medicine, People tree Hospitals, Bangalore, Karnataka, India
  • Manjunath M. K. Department of ENT, Sparsh Hospitals, Bangalore, Karnataka, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20243518

Keywords:

Nasal tuberculosis, Primary, Inoculation

Abstract

Tuberculosis of the nose is a rare entity and is usually secondary to pulmonary tuberculosis. Due to its nonspecific presentation, it can be easily missed. Early diagnosis and treatment helps to prevent associated morbidity. We present a case of nasal tuberculosis in a 39-year-old male patient with the habit of nasal picking who presented with a non-healing septal ulcer. Histopathology revealed the diagnosis of tuberculosis. He did not have any evidence of pulmonary tuberculosis. A diagnosis of primary nasal tuberculosis due to inoculation by finger nail trauma was made and patient was treated with antitubercular medications. It is important to have a high index of suspicion to prevent late diagnosis and sequelae.  

 

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References

Goguen L, Karmody C. Nasal tuberculosis. Otolaryngol Head Neck Surg. 1995;113:131-5.

Khan S, Pujani M, Jetley S. Primary Nasal Tuberculosis: Resurgence or Coincidence - A Report of Four Cases with Review of Literature. J Lab Physicians. 2017;9:26-30.

Mohindroo NK, Sharma DR, Chauhan I, Mohindroo S. Primary Nasal Tuberculosis. Int J Clin Rhinol. 2011;4:39-41.

Masterson L, Srouji I, Kent R, Bath AP. Nasal tuberculosis--an update of current clinical and laboratory investigation. J Laryngol Otol. 2011;125:210-3.

Lmekki S, Lecanu JB. Tuberculosis of the middle ear and nasal passage: A case report. Int J Mycobacteriol. 2013;2:51-3.

Al-Serhani AM. Mycobacterial infection of the head and neck: Presentation and diagnosis. Laryngoscope. 2001;111:2012-6.

Chavan RP, Ingole SM, Parokaran AA, Desai WV, Damodhar AP. ENT manifestation CCs in tuberculosis: a descriptive study. Egypt J Otolaryngol. 2022;38(1):140.

Dixit R, Dave L. Primary nasal tuberculosis. Lung India. 2008;25:102-3.

Swain SK, Behera IC, Sahu MC. Primary sinonasal tuberculosis: Our experiences in a tertiary care hospital of eastern India. Egypt J Ear Nose Throat All Sci. 2017;18:237-40.

Dey S, Misra S, Dutta M. Primary Sinonasal Tuberculosis: A Diagnostic Challenge. Turk Arch Otorhinolaryngol. 2018;56:117-21.

World Health Organisation. Global tuberculosis report 2020. 2020. Available at: https://www.who.int/publications/i/item/9789240013131. Accessed on 18 August 2024.

Kameswaran M, Anand Kumar RS, Murali S, Raghunandan S, Vijaya Krishnan P. Primary nasal Tuberculosis - A case report. Indian J Otolaryngol Head Neck Surg. 2007;59:87-9.

Bouatay R, Bouaziz N, Harrathi K, Koubaa J. Primary sinonasal tuberculosis: A diagnostic challenge. Otolaryngol Case Rep. 2024;31:100611.

George MV, Theresa L, Aswathi R. A rare case of primary nasal tuberculosis. Int J Otorhinolaryngol Head Neck Surg. 2020;6:793-5.

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Published

2024-11-26