Nasal obstruction and blood-stained rhinorrhoea were the most common symptoms with which this patient presented. It was associated with frank epistaxis and headache. On examination of these patients, those with granular nasal and nasopharyngeal lesions underwent a rigid nasal endoscopy and biopsy of the lesion.He also had a lump in the neck, a cervical lymph node.
The biopsy report from both sites confirmed TB and he had 9 months of Poly chemotherapy for TB and now symptom free.
The initial therapy was started with a combination of isoniazid (5 mg/kg), rifampicin (10 mg/kg), and pyrazinamide (15 to 20 mg/kg),
When significant side effects occurred, the drug responsible for these effects was replaced by ethambutol (25 mg/kg).The duration of treatment recommended at the patient’s discharge from the hospital ranged between 9months.
About Dr Paulose, FRCS (The World Class ENT Surgeon) 