Journal of the Formosan Medical Association
Volume 106, Issue 11 , Pages 953-955, November 2007

Primary Nasal Tuberculosis Presenting with Septal Perforation

  • Ting-Yun Lai

      Affiliations

    • Department of Otorhinolaryngology, Cheng-Ching Hospital, Chung-Kang Branch, Taichung, Taiwan
    • Corresponding Author InformationCorrespondence to: Dr Ting-Yun Lai, Department of Otorhinolaryngology, Cheng-Ching Hospital, Chung-Kang Branch, 118, Section 3, Chung-Kang Road, Taichung 407, Taiwan
    • ,
  • Po-Jen Liu

      Affiliations

    • Department of Otorhinolaryngology, Cheng-Ching Hospital, Chung-Kang Branch, Taichung, Taiwan
    • ,
  • Lai-Ping Chan

      Affiliations

    • Department of Pathology, Cheng-Ching Hospital, Chung-Kang Branch, Taichung, Taiwan

Received 11 December 2006; received in revised form 16 January 2007; accepted 13 March 2007.

Article Outline

Tuberculosis is a serious, worldwide health problem that affects people in many developing countries. The acquired immunodeficiency syndrome epidemic and the development of antibiotic-resistant strains of mycobacteria have contributed to the increasing international incidence of tuberculosis in recent years. Yet, extrapulmonary tuberculosis remains comparatively rare. We present the case of a 44-year-old laborer who complained of bilateral nasal obstruction and postnasal drip for many years. Endoscopic examination disclosed septal perforation with marginal crusting. A biopsy of the marginal tissue was performed and Ziehl-Neelsen staining revealed acid-fast bacilli. Subsequent to a 6-month course of antituberculous medication, the perforation remained, but the crusting subsided.

Key Words:  extrapulmonary tuberculosis , nasal septal perforation , primary nasal tuberculosis

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PII: S0929-6646(08)60066-2

doi:10.1016/S0929-6646(08)60066-2

Journal of the Formosan Medical Association
Volume 106, Issue 11 , Pages 953-955, November 2007

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