Abstract
Primary or secondary nasal tuberculosis is rare and it is virtually a forgotten disease entity among ENT practitioners. We report here two cases of nasal tuberculosis. One was due to secondary tuberculosis in a 19-year-old female who presented with symptoms suggestive of right maxillary sinusitis. Chest X-ray showed active pulmonary tuberculosis and bacteriology also showed growth of Mycobacterium tuberculosis. The other was a case of primary nasal tuberculosis in a 60-year-old woman who presented with a granulomatous lesion in the bilateral aspects of the nasal septum masquerading as nasal midline necrosis. Although no acid fast bacilli were identified in the nasal biopsy, septum or nasal swab, and systemic examination showed no evidence of tuberculosis, diagnosis was made on histological examination. The implications of nasal and paranasal tuberculosis are discussed.
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