Tuberculous granuloma of maxillary antrum and ethmoid sinus mimicking malignancy and trigeminal neuralgia: A case report and review of the literatureY

Penjor, Dorji and Chong, Aun Wee (2021) Tuberculous granuloma of maxillary antrum and ethmoid sinus mimicking malignancy and trigeminal neuralgia: A case report and review of the literatureY. Sage Open Medical Case Reports, 9. ISSN 2050-313X, DOI https://doi.org/10.1177/2050313X211039733.

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Abstract

Tuberculosis is a multi-system disease, but paranasal sinuses involvement is uncommon, and most cases occur secondary to pulmonary tuberculosis. Tuberculous granuloma of the paranasal sinuses is rare and only a few cases are reported. Due to non-specific ways of clinical presentations, diagnosis of paranasal tuberculosis can be missed, delayed or confused with other entities like malignancy. We present an uncommon case of tuberculous granuloma of the left maxillary antrum and ethmoid sinus in a 56-year-old man which mimicked trigeminal neuralgia and malignancy. Medial maxillectomy and anterior ethmoidectomy with clearance of the lesion followed by antituberculous treatment prevented permanent loss of his vision. Depending on the chief complaints, patients may present to various specialties. Early cross-referral is important for early diagnosis, appropriate management and prevention of complications.

Item Type: Article
Funders: UNSPECIFIED
Uncontrolled Keywords: Tuberculous granuloma; Paranasal sinuses; Maxillary antrum; Trigeminal neuralgia
Subjects: R Medicine > R Medicine (General)
R Medicine > RC Internal medicine
Divisions: Faculty of Medicine > Otorhinolaryngology Department
Depositing User: Ms Zaharah Ramly
Date Deposited: 07 Sep 2022 02:07
Last Modified: 07 Sep 2022 02:07
URI: http://eprints.um.edu.my/id/eprint/35119

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