Sagar Poonam, Wadhwa Vikram, Singh Ishwar, Mallya Varuna, Rajpurohit Pragya
Department of Otorhinolaryngology, Head and Neck Surgery, Maulana Azad Medical College, Delhi, India.
Department of Pathology, Maulana Azad Medical College, Delhi, India.
Iran J Otorhinolaryngol. 2018 Jul;30(99):231-235.
Tuberculosis is a communicable disease caused by mycobacterium tuberculosis that primarily affects the lungs. Primary tuberculosis of the nose in the pediatric age group is rare. The diagnosis of this common entity in the present case was challenging.
We report the case of a 3-year old girl who presented with a painless swelling over the dorsum of the nose for 7 months. Imaging revealed a mass lesion eroding nasal bones, septum and frontal bone with intracranial extension. Endoscopic examination showed a friable mass in the superior aspect of the nasal septum, extending intracranially. Histopathology confirmed the diagnosis of nasal tuberculosis, and the patient improved on category I anti-tubercular therapy.
Midline nasal swelling in children needs to be differentiated from congenital nasal swelling. A high index of suspicion is required for correct diagnosis of a patient with nasal tuberculosis. Anti-tubercular therapy is the mainstay of treatment.
结核病是一种由结核分枝杆菌引起的传染病，主要影响肺部。小儿鼻原发性结核较为罕见。本病例中对这一常见病症的诊断颇具挑战性。
我们报告一例3岁女童，其鼻背部无痛性肿胀7个月。影像学检查显示有一肿块侵蚀鼻骨、鼻中隔和额骨并向颅内扩展。内镜检查显示鼻中隔上部有一易碎肿块，向颅内延伸。组织病理学确诊为鼻结核，患者接受I类抗结核治疗后病情好转。
儿童中线鼻肿胀需与先天性鼻肿胀相鉴别。对于鼻结核患者的正确诊断需要高度的怀疑指数。抗结核治疗是主要的治疗方法。
