A RARE CASE OF TUBERCULOSIS OF THE PARANASAL SINUSES
Isolated tuberculosis involvement of paranasal sinuses is rare, especially in patients without immunodeficiency. The difficulty in establishing the diagnosis is often associated with a lack of vigilance towards to tuberculosis among doctors of non-tuberculosis medical organizations, including otorhinolaryngologists and specialists on imaging diagnosis, as well as the absence of pathognomonic CT or MRI signs. In this regard, in the conclusions of experts on imaging visualization is often assumed a tumor. Clinical observation, presented in the publication, demonstrates the tuberculosis involvement of the maxillary sinus in a young woman who was treated in the department of otorhinolaryngology. Tuberculosis was established after surgery - a left-side maxillaethmoid dissection, based on the results of pathomorphological verification. Later, the patient continued treatment at the National phthisiology center, where she underwent a course of chemotherapy, according to WHO recommendations for non-resistant forms of mycobacterium tuberculosis with a positive effect. The patient is discharged home with the appropriate recommendations.