Sinonasal tuberculosis and Pott’s disease: A rare case of multifocal skeletal tuberculosis

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Sinonasal tuberculosis and Pott’s disease: A rare case of multifocal skeletal tuberculosis

Rama Krsna Rajandram, Syed Nabil, Rifqah Nordin, Abdul Jabar Nazimi: Sinonasal tuberculosis and Pott’s disease: A rare case of multifocal skeletal tuberculosis. Mal. J. Oral Maxillofac. Surg. 2012; 10: 24–27.

Abstract: Background: Skeletal tuberculosis accounts for 10% of cases with extrapulmonary tuberculosis. Sinonasal tuberculosis is rare and has two different pathological types. Pott’s disease refers to spinal tuberculosis and is the most common form of skeletal tuberculosis however is often diagnosed late resulting in significant rates of mortality and morbidity among patients.

Case Description: A 70 year old female presented with a rare case of multifocal skeletal tuberculosis involving the spine and the sinonasal complex. The diagnostic challenge of this case is presented and important clinical points are presented.

Clinical Implications: High index of suspicion is needed among clinician when dealing with possible rare tuberculous skeletal presentations and a practice of improving early diagnosis using diagnostic tools which are sensitive to detecting skeletal tuberculosisis.