Dual infection of maxillary sinus masquerading as a malignant lesion; A rare presentation
Primary sinonasal tuberculosis is a rare form of TB even in developing countries where TB is prevalent and invasive mycotic infection is more common in immunocompromised patients. It is unusual to have a dual infection with tuberculosis and mycosis in the maxillary region mimicking a neoplastic proc...
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| Format: | Article |
| Language: | English |
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Association of Clinical Pathologists of Nepal
2024-10-01
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| Series: | Journal of Pathology of Nepal |
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| Online Access: | https://www.nepjol.info/index.php/JPN/article/view/59892 |
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| author | Nitika Chawla Tanu Priya Sheoran Ruchi Agarwal Swaran Kaur Pardeep |
| author_facet | Nitika Chawla Tanu Priya Sheoran Ruchi Agarwal Swaran Kaur Pardeep |
| author_sort | Nitika Chawla |
| collection | DOAJ |
| description | Primary sinonasal tuberculosis is a rare form of TB even in developing countries where TB is prevalent and invasive mycotic infection is more common in immunocompromised patients. It is unusual to have a dual infection with tuberculosis and mycosis in the maxillary region mimicking a neoplastic process and causing bone erosion. A 49-year old male presented with 2-year history of left-sided facial swelling. On microscopic examination, epithelioid cell granulomas, chronic inflammatory infiltrate, macrophages, giant cells, and focal necrosis were seen. Ziehl Neelsen staining for acid-fast bacilli with 20% H2SO4 was positive. Fungal hyphae were also seen in the sections examined. Special stains (Periodic acid-Schiff and Grocott’s methenamine silver stain) for fungal hyphae were positive. Mycosis and tuberculosis should always be considered in the differential diagnosis of maxillary lesions or sinusitis. |
| format | Article |
| id | doaj-art-d40e9871ab284431a7e554df528b6bf0 |
| institution | Kabale University |
| issn | 2091-0797 2091-0908 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Association of Clinical Pathologists of Nepal |
| record_format | Article |
| series | Journal of Pathology of Nepal |
| spelling | doaj-art-d40e9871ab284431a7e554df528b6bf02025-08-21T06:55:17ZengAssociation of Clinical Pathologists of NepalJournal of Pathology of Nepal2091-07972091-09082024-10-011412183218610.3126/jpn.v14i1.5989287005Dual infection of maxillary sinus masquerading as a malignant lesion; A rare presentationNitika Chawla0https://orcid.org/0000-0003-3204-5249Tanu Priya Sheoran1https://orcid.org/0009-0005-6525-8517Ruchi Agarwal2Swaran Kaur3Pardeep4Bhagat Phool Singh Government Medical College Khanpur Kalan, IndiaBhagat Phool Singh Government Medical College Khanpur Kalan, IndiaBhagat Phool Singh Government Medical College Khanpur Kalan, IndiaBhagat Phool Singh Government Medical College Khanpur Kalan, IndiaBhagat Phool Singh Government Medical College, Khanpur Kalan, IndiaPrimary sinonasal tuberculosis is a rare form of TB even in developing countries where TB is prevalent and invasive mycotic infection is more common in immunocompromised patients. It is unusual to have a dual infection with tuberculosis and mycosis in the maxillary region mimicking a neoplastic process and causing bone erosion. A 49-year old male presented with 2-year history of left-sided facial swelling. On microscopic examination, epithelioid cell granulomas, chronic inflammatory infiltrate, macrophages, giant cells, and focal necrosis were seen. Ziehl Neelsen staining for acid-fast bacilli with 20% H2SO4 was positive. Fungal hyphae were also seen in the sections examined. Special stains (Periodic acid-Schiff and Grocott’s methenamine silver stain) for fungal hyphae were positive. Mycosis and tuberculosis should always be considered in the differential diagnosis of maxillary lesions or sinusitis.https://www.nepjol.info/index.php/JPN/article/view/59892bone erosionmaxillary sinusmycosissinonasal tuberculosis |
| spellingShingle | Nitika Chawla Tanu Priya Sheoran Ruchi Agarwal Swaran Kaur Pardeep Dual infection of maxillary sinus masquerading as a malignant lesion; A rare presentation Journal of Pathology of Nepal bone erosion maxillary sinus mycosis sinonasal tuberculosis |
| title | Dual infection of maxillary sinus masquerading as a malignant lesion; A rare presentation |
| title_full | Dual infection of maxillary sinus masquerading as a malignant lesion; A rare presentation |
| title_fullStr | Dual infection of maxillary sinus masquerading as a malignant lesion; A rare presentation |
| title_full_unstemmed | Dual infection of maxillary sinus masquerading as a malignant lesion; A rare presentation |
| title_short | Dual infection of maxillary sinus masquerading as a malignant lesion; A rare presentation |
| title_sort | dual infection of maxillary sinus masquerading as a malignant lesion a rare presentation |
| topic | bone erosion maxillary sinus mycosis sinonasal tuberculosis |
| url | https://www.nepjol.info/index.php/JPN/article/view/59892 |
| work_keys_str_mv | AT nitikachawla dualinfectionofmaxillarysinusmasqueradingasamalignantlesionararepresentation AT tanupriyasheoran dualinfectionofmaxillarysinusmasqueradingasamalignantlesionararepresentation AT ruchiagarwal dualinfectionofmaxillarysinusmasqueradingasamalignantlesionararepresentation AT swarankaur dualinfectionofmaxillarysinusmasqueradingasamalignantlesionararepresentation AT pardeep dualinfectionofmaxillarysinusmasqueradingasamalignantlesionararepresentation |