Ann Clin Otolaryngol | Volume 1, Issue 1 | Case Series | Open Access
Vageesh Padiyar1*, Azeem Mohiyuddin1 and Parimala S2
Department of Otorhinolaryngology and Head and Neck surgery, Sri Devaraj Urs Medical College, Tamaka, Kola
*Correspondance to: Vageesh Padiyar
Fulltext PDFIntroduction: Nocardia are environmental saprophytes which cause pulmonary, CNS or disseminated skin and soft tissue infection in immunocompromised individuals. Few articles have reported Nocardial sinusitis. There is no report of polypi associated with Nocardial sinusitis. We report a case of Nocardial sinusitis with ethmoidal polypi in immunocompetent lady.
Case Report: A 55 year lady presented to our hospital with right nasal obstruction and foul smelling nasal discharge since 3 years. On examination, she had mucopurulent nasal discharge and multiple ethmoidal polypi (right side) .CT scan showed right sided maxillary sinusitis and ethmoidal poypi. She had eosinophilia. She underwent endoscopic sinus surgery. Histopathology showed inflammatory polyp and gram positive branching filamentous acid fast bacteria. Culture showed white, dry, granular colonies. Biochemical tests confirmed Nocardia brazeliensis. Patient was treated with trimethoprim+sulphamethaxozole for 6 weeks. She is disease free 4 months after treatment.
Discussion: Nocardia are saprophytes causing infection in immunocompromised individuals.Reports of Nocardial sinusitis are rare. Our patient was immunocompetent with no history of trauma and had ethmoidal polypi and eosinophilia along with unilateral Nocardial sinusitis. Literature shows no other report with similar findings. Culture and biochemical test confirmed Nocardia brazeliensis and patient responded well to endoscopic sinus surgery followed by trimethoprim + sulphamethaxozole for 6 weeks.
Nocardia; Maxillary and ethmoidal sinusitis; Ethmoidal polypi
Padiyar V, Mohiyuddin A, Parimala S. Maxillary Sinusitis and Ethmoidal Polypi due to Nocardia: A Rare Case. Ann Clin Otolaryngol. 2016;1(1):1002.