Andratschke M, Nerlich A G, Hagedorn H
Abteilung für Hals-, Nasen- und Ohrenheilkunde, Klinikum Dachau, 85221 Dachau.
HNO. 2009 Nov;57(11):1209-12. doi: 10.1007/s00106-009-1981-5.
Infections due to the Mycobacterium tuberculosis of the head and neck region mainly affect the cervical lymph nodes. We report a rare case of paranasal sinus tuberculosis. The patient presented as an emergency with right-sided headache and epiphora. Clinical, radiological and laboratory results yielded a diagnosis of acute exacerbated chronic sinusitis with meningeal affection resulting from transmigration. Histological and molecular investigations confirmed mycobacterial infection of the paranasal sinuses.