DOI: 10.36347/sjmcr.2023.v11i04.016

Pages: 484-487

Tuberculosis is still endemic in developing countries. Nasal tuberculosis is a rare chronic infection, it remains a diagnostic challenge. We report the case of a 59-year-old female patient with multifocal tuberculosis (nasal, pulmonary, and lymph nodes). The revealing symptom of her illness was a progressive nasal obstruction with anosmia and intermittent pus discharge through the lacrimal duct. The diagnosis was retained in view of the epidemiological context, chronic crusted and purulent rhinitis that did not improve with antibiotics, presence of granulomatous lesions on nasal biopsy and detection of acid-alcohol resistant bacilli on direct examination of bronchial aspirates. The patient was treated with antituberculosis therapy for 9 months with complete recovery. Given the resurgence of tuberculosis in recent times, it is important that clinicians remain aware of this rare and treatable clinical entity.