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Tuberculosis with secondary vasculitis presenting as a nasal septal perforation. 2011

Aaron Trinidade, and Muhammad Shakeel, and Anooj Majithia, and Sarah Woodham, and Vincent Cumberworth
Department of Otolaryngology, The Royal National Throat, Nose and Ear Hospital, 330 Gray’s Inn Road, London, UK. aarontrinidade@gmail.com

A 45 years old man with tuberculosis (TB) and secondary vasculitis presented with perforation of the nasal septum, involving skin and cranial nerves. Vasculitis is a recognized, tough rare complication of tuberculosis and has not been previously described in the literature as a cause of nasal septal perforation. It presents a diagnostic dilemma. The diagnostic challenges of this case are outlined, and the clinical implications are discussed.

UI MeSH Term Description Entries
D008198 Lymph Nodes They are oval or bean shaped bodies (1 - 30 mm in diameter) located along the lymphatic system. Lymph Node,Node, Lymph,Nodes, Lymph
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D006099 Granuloma A relatively small nodular inflammatory lesion containing grouped mononuclear phagocytes, caused by infectious and noninfectious agents. Granulomas
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D014376 Tuberculosis Any of the infectious diseases of man and other animals caused by species of MYCOBACTERIUM TUBERCULOSIS. Koch's Disease,Kochs Disease,Mycobacterium tuberculosis Infection,Infection, Mycobacterium tuberculosis,Infections, Mycobacterium tuberculosis,Koch Disease,Mycobacterium tuberculosis Infections,Tuberculoses
D014657 Vasculitis Inflammation of any one of the blood vessels, including the ARTERIES; VEINS; and rest of the vasculature system in the body. Angiitis,Angiitides,Vasculitides
D061270 Nasal Septal Perforation An opening or hole in the NASAL SEPTUM that is caused by TRAUMA, injury, drug use, or pathological process. Nasal Septum Perforation,Nasal Septal Perforations,Nasal Septum Perforations,Perforation, Nasal Septal,Perforation, Nasal Septum,Perforations, Nasal Septal,Perforations, Nasal Septum,Septal Perforation, Nasal,Septal Perforations, Nasal,Septum Perforation, Nasal,Septum Perforations, Nasal

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