Sífilis nasal y paranasal

Naso-Sinusal Tuberculosis: 3 Cases Report

“…Similarly, there are no specific endoscopic aspects of TB infection. Budding lesions, mucosal or granulomatous hyperplasia have been described [3,13]. In our study, the endoscopic look of the middle meatus lesion was suspicious in one case.…”

“…In our study, the infection was localized in the maxillary sinus in all patients. The assumed mode of contamination of these regions is multiple [13]:…”

“…noted a generalized disease in over 75% of persons with nasal TB [8]. Treatment is based on anti-tuberculosis therapy [10,13]. Conventionally, the drug association starts, during 2 or 3 months with four major antituberculosis drugs (Rifampicin 10 mg/kg, Isoniazid 4-5 mg/kg, Pyrazinamide 20-30 mg/kg, Streptomycin 15 mg/Kg, Ethambutol 15-20 mg/kg) [20].…”

“…This often results from irregular or interrupted treatment before the required period. The chemotherapy is then required to be extended (18 to 24 month) and is more toxic to patients [13]. Ina a series of 50 cases of nasopharyngeal tuberculosis by Jian et al, all of the patients were disease-free after 2 years [22].…”

“…Ina a series of 50 cases of nasopharyngeal tuberculosis by Jian et al, all of the patients were disease-free after 2 years [22]. An associated surgery is classically recommended in the tumoral forms and in case of osseous invasion to repair bony defects, but, in the light of the rare published cases, it seems that, even in these cases, the antituberculosis chemotherapy used alone ensure the cure [13]. The disease progress is evaluated on the basis of several parameters: functional signs resolution, improvement of general conditions and normalization of biological and radiological assessments.…”