L Masterson1, I Srouji, R Kent, A P Bath. 1. Department of ENT, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK. lmm398@doctors.org.uk
Abstract
OBJECTIVE: To report a case of primary nasal tuberculosis, and to discuss the diagnostic difficulties encountered. SETTING: A teaching hospital in Norwich, UK. METHOD: Case report and review of the English language literature concerning tuberculosis affecting the head and neck region. RESULT: The diagnosis of nasal tuberculosis is based on: histological identification of granulomatous inflammation; positive testing for acid-alcohol resistant bacilli; and positive culture. Newer diagnostic tests have the advantage of speed and improved accuracy, but are not as yet completely evaluated for the diagnosis of extra-pulmonary tuberculosis. CONCLUSION: It is important to consider nasal tuberculosis in the initial differential diagnosis. The quest to exclude a malignancy may lead to unacceptable delays in treatment.
OBJECTIVE: To report a case of primary nasal tuberculosis, and to discuss the diagnostic difficulties encountered. SETTING: A teaching hospital in Norwich, UK. METHOD: Case report and review of the English language literature concerning tuberculosis affecting the head and neck region. RESULT: The diagnosis of nasal tuberculosis is based on: histological identification of granulomatous inflammation; positive testing for acid-alcohol resistant bacilli; and positive culture. Newer diagnostic tests have the advantage of speed and improved accuracy, but are not as yet completely evaluated for the diagnosis of extra-pulmonary tuberculosis. CONCLUSION: It is important to consider nasal tuberculosis in the initial differential diagnosis. The quest to exclude a malignancy may lead to unacceptable delays in treatment.
Authors: K J Vail; L W Stranahan; L M Richardson; A E Yanchik; C E Arnold; B F Porter; D J Wiener Journal: J Comp Pathol Date: 2019-05-14 Impact factor: 1.311