原發性鼻部結核症－病例報告

Primary Nasal Tuberculosis - Case Report

周賢章(Hsien-Jang Chou) ； 李國森(Kuo-Sheng Lee) ； 陳一豪(I-How Chen)

《中華民國耳鼻喉科醫學會雜誌》 27卷3期 (1992/09) Pp. 256-259

https://doi.org/10.6286/1992.27.3.256

摘要

鼻部結核症非常罕見。蓋因鼻腔環境並不適合結核菌的生長，所以文獻報告不多。臺北馬偕紀念醫院耳鼻喉科於民國79年10月間經歷一原發性鼻部結核症的病例。患者為52歲男性，主訴長期單側鼻塞、膿性鼻漏及偶有鼻衂現象。局部檢查發現左側下鼻甲後端有一結節樣肉芽腫塊，經病理切片及結核菌培養試驗證實為結核症。又除鼻部外並未發現其他部位感染結核症，故最後診斷為原發性鼻部結核症。經投予抗結核藥物一年，患者已完全康復並無復發跡象。由於此病例十分罕見，故提出報告並加以討論。

關鍵字

鼻部結核症 ； 原發性

並列摘要

Primary nasal tuberculosis is rare. The lesions are characterized by a marked chronicity which is evidenced by the fact that the nasal mucosa does not provide a favorable climate for Mycolbacterium tuberculosis. Only a few cases have been reported in the literature.
We encountered a case of primary nasal tuberculosis in October 1990. This 52-year-old male patient presented with unilateral left-sided nasal obstruction, purulent nasal discharge nad occasional epistaxis for several years. Local findings revealed a granulomatous polypoid lesion on the posterior end of the left inferior turbinate. Histological examination of the lesion and TB cultures confirmed the diagnosis. Healing was complete after one year of treatment with anti-TB drugs.

並列關鍵字

nasal tuberculosis ； primary