Nasal tuberculosis
Introduction
Introduction to nasal tuberculosis Nasal tuberculosis is a disease of tuberculosis of the nose. There are primary and secondary points, the primary may be caused by airborne, direct or indirect contact, secondary to tuberculosis lesions or other areas of tuberculosis. basic knowledge The proportion of illness: 0.005% Susceptible people: no specific population Mode of infection: respiratory transmission Complications: rhinitis, nosebleeds
Cause
Cause of nasal tuberculosis
Cause
Mycobacterium tuberculosis infection.
Pathophysiology
Local superficial ulcers are covered with molting, and pale granules are under the skin. In severe cases, the lesions develop to the deep layer, destroying the cartilage, causing perforation of the nasal septum and collapse of the nose.
Prevention
Nasal tuberculosis prevention
1. Prevention of tuberculosis of the ear, nose, throat and throat is very important. First of all, don't touch patients with infectious tuberculosis. Wear masks for patients with infectious tuberculosis.
2, do not dig the nostrils by hand, so as not to bring M. tuberculosis.
3, do not use the tableware of tuberculosis patients, so as not to swallow the tuberculosis. If you find tuberculosis in a certain part of your body, you should treat it promptly so as not to pass it to other parts.
Complication
Nasal tuberculosis complications Complications, rhinitis, nosebleeds
May be complicated by rhinitis, nosebleeds, etc.
Symptom
Nasal tuberculosis symptoms Common symptoms Nasal bleeding Nasal nasal itching Olfactory loss Dizziness Tinnitus Fever Ear overflowing weight loss
1, early symptoms are often very mild, only the anterior nasal itching, burning sensation, a small amount of exudate. The development of the lesions, increased secretions, may have blood in the sputum, there are varying degrees of nasal congestion, nosebleeds, olfactory disorders. Invading the sinus, there are sinusitis such as dizziness and headache. Can have eye discomfort, tears, tinnitus and ear drops. In severe cases, there may be systemic symptoms such as weight loss and fever.
2, early detection of nasal vestibular eczema or folliculitis lesions. There may be pink nodules on the anterior nasal skin and mucous membranes. It is often seen that there is a suede in the nasal cavity, the lower mucosa is superficially ulcerated, the edge is not complete, and the pale granulation tissue is proliferated at the ulcer, and the bleeding is easy to touch. In severe cases, the ulcer is deep, there is necrosis, and the septum is perforated.
Examine
Nasal tuberculosis check
Exudate acid-fast staining test, bacterial culture or pathological examination.
Diagnosis
Diagnosis and identification of nasal tuberculosis
diagnosis
According to local examinations, especially in other parts of the body, especially when there are tuberculosis lesions in the lungs, the possibility of tuberculosis infection should be considered.
Differential diagnosis
It should be differentiated from nasal leprosy, nasal lupus vulgaris, and nasal induration.
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