scholarly journals Fish Tank Granuloma Presenting as a Nasal Cavity Mass

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Motoki Sekine ◽  
Fumiyuki Goto ◽  
Kosuke Saito ◽  
Shoji Kaneda ◽  
Hikaru Yamamoto ◽  
...  
Keyword(s):  
Tissue Culture ◽  
Nasal Cavity ◽  
Anterior Part ◽  
Pathological Finding ◽  
Rare Condition ◽  
Nontuberculous Mycobacterium ◽  
Interferon Gamma Release Assay ◽  
Culture Test ◽  
Fish Tank ◽  
Fish Tank Granuloma

Mycobacterium marinum is a free-living nontuberculous mycobacterium that is widely distributed in freshwater and seawater around the world. Granulomatous skin infection from M. marinum in people who are exposed to fish or aquatic environments is a rare condition known as fish tank granuloma. The granuloma mainly occurs on the skin of the upper limb, in a few cases on the face, and rarely in the nasal cavity. We describe a case of M. marinum infection that presented as a nasal cavity mass. A 57-year-old woman who was receiving infliximab for psoriatic arthritis visited our hospital with a complaint of right nasal obstruction. A granulomatous mass with an irregular surface was found in the anterior part of the right nasal cavity. Tissue biopsy revealed granulation tissue. Since the application of steroid ointment did not reduce the size of the mass, the tumor was resected under local anesthesia, and the base was cauterized. The pathological finding was an inflammatory granuloma with negative Ziehl–Neelsen staining. The granuloma recurred 3 months after resection. The interferon-gamma release assay (IGRA) test was positive, and therefore, a mycobacterial tissue culture test was performed because of suspected nasal tuberculosis, which identified M. marinum. The nasal cavity mass disappeared 2 months after the administration of minocycline, followed by clarithromycin, and subsequent discontinuation of infliximab. M. marinum infection can cause an intranasal mass. IGRA and the mycobacterial tissue culture test are useful for diagnosis. As in this case, the nasal lesion may be excised as an inflammatory nasal granuloma, and therefore, there may be many more “hidden” cases of M. marinum infection. If nasal granulation is present, the possibility of M. marinum infection should be considered.

‘Fish Tank Granuloma’ Can Mimic Staph Infection

2008 ◽  
Vol 42 (1) ◽  
pp. 16
Author(s):  
SHERRY BOSCHERT
Keyword(s):  
Fish Tank ◽  
Fish Tank Granuloma

Fish tank granuloma. A hobby hazard

1972 ◽  
Vol 130 (1) ◽  
pp. 121-123 ◽  
Author(s):  
H. S. Heineman
Keyword(s):  
Fish Tank ◽  
Fish Tank Granuloma

Antimicrobial Treatment of Fish Tank Granuloma

1997 ◽  
Vol 22 (1) ◽  
pp. 135-137 ◽  
Author(s):  
R. B. S. LAING ◽  
P. J. FLEGG ◽  
B. WATT ◽  
C. L. S. LEEN
Keyword(s):  
Antimicrobial Treatment ◽  
Mycobacterium Marinum ◽  
The Third ◽  
Fish Tank ◽  
Fish Tank Granuloma

Three patients with fish tank granuloma of the hand and forearm are reported. Each patient was treated with antimicrobial regimes which have rarely or never been previously used in this condition. Two patients responded well to treatment, one who received ciprofloxacin plus clarithromycin and another who was given clarithromycin plus ethambutol. The third patient received six different antimicrobial regimes before responding to a combination of rifabutin and ciprofloxacin. Our experience suggests that there now exist a number of effective alternatives to antimicrobials which have been traditionally used in the treatment of cutaneous Mycobacterium marinum infection.

scholarly journals Atypical clinical and laboratory features of fish-tank granuloma: A case report

2018 ◽  
Vol 6 ◽  
pp. 2050313X1880407 ◽  
Author(s):  
Michael Sander ◽  
Judith L Isaac-Renton ◽  
Megan A Sander
Keyword(s):  
Case Report ◽  
Susceptibility Testing ◽  
Mycobacterium Marinum ◽  
In Vitro Susceptibility ◽  
Laboratory Features ◽  
In Vitro Susceptibility Testing ◽  
Fish Tank ◽  
Fish Tank Granuloma

We report a case of cutaneous Mycobacterium marinum infection with the unusual reported features of pruritus and paresthesia. In addition, we report a lack of in-vivo response to antibiotics based on in-vitro susceptibility testing.

scholarly journals Middle turbinate angiofibroma in an elderly woman

2009 ◽  
Vol 66 (7) ◽  
pp. 583-586 ◽  
Author(s):  
Aleksandar Peric ◽  
Nenad Baletic ◽  
Snezana Cerovic ◽  
Biserka Vukomanovic-Djurdjevic
Keyword(s):  
Nasal Cavity ◽  
Elderly Woman ◽  
Anterior Part ◽  
Middle Turbinate ◽  
Immunohistochemical Analysis ◽  
Vascular Tumors ◽  
Male Adolescents ◽  
Sphenopalatine Foramen ◽  
First Case ◽  
Left Middle

Background. Angiofibromas are histologically benign vascular tumors, originating from the nasopharynx, near by the area of sphenopalatine foramen. These neoplasms occur typically in male adolescents. Reports of primary extranasopharyngeal angiofibromas have appeared sporadically in the literature in English. We present the first case of an elderly woman with tumor arising from the middle turbinate, diagnosed as angiofibroma. Case report. A 63-year-old female presented with left-sided nasal obstruction and epistaxis. Endoscopic evaluation revealed a polypoid mass arising from the anteroinferior portion of the left middle turbinate. Computed tomography (CT) scan showed a soft-tissue opacity that filled the anterior part of the left nasal cavity. After the endoscopic excision of the mass, postoperative pathohistological and immunohistochemical analysis confirmed the diagnosis of an angiofibroma. Two years later, the patient was free of symptoms and without endoscopic evidence of recurrence. Conclusion. Extranasopharyngeal angiofibromas arising from the nasal cavity are extremely rare tumors. Immunohistochemical analysis is very important in all doubtful cases, especially in those with atypical location.

scholarly journals Endoscopic excision of nasal septal schwannoma:case report and review of literature

2019 ◽  
Vol 18 (3) ◽  
pp. 660-662
Author(s):  
Norsyamira Aida Mohamad Umbaik ◽  
Rosdi Ramli ◽  
Baharudin Abdullah
Keyword(s):  
Nasal Cavity ◽  
Paranasal Sinuses ◽  
Anterior Part ◽  
Medical Science ◽  
Middle Turbinate ◽  
Postoperative Recovery ◽  
Benign Tumors ◽  
Left Nasal Cavity ◽  
Myelinated Nerve ◽  
Endoscopic Excision

Schwannomas are benign tumors arising from Schwann cells of myelinated nerve sheath. Schwannomas of the nasal cavity and paranasal sinuses are rare, with only 4% occurrence. We report a case of a 48-year-old lady who presented with 1-year history of progressively worsening left nasal blockage. Rigid nasoendoscopy showed a smooth, globular mass occupying the left nasal cavity. The mass arose from the left nasal septum and impinged on the anterior part of the middle turbinate posteriorly and inferior turbinate anteriorly. Computed tomography of the paranasal sinuses showed a 3.8 × 1.8 x 3.7- cm enhancing soft tissue density in the left nostril. The mass obliterated the left nasal cavity and caused deviation of the septum to the right. The patient underwent an endoscopic excision and histopathologic examination confirmed the diagnosis of Schwannoma. Postoperative recovery was uneventful and no recurrence was seen in the follow-up period. Bangladesh Journal of Medical Science Vol.18(3) 2019 p.660-662

scholarly journals Pituitary macroadenoma presenting as a nasal tumor: case report

2014 ◽  
Vol 132 (6) ◽  
pp. 377-381 ◽  
Author(s):  
Nivaldo Adolfo Silva Junior ◽  
Fabiano Reis ◽  
Larissa Kaori Miura ◽  
Guilherme Henrique Vieira ◽  
Luciano Souza Queiroz ◽  
...  
Keyword(s):  
Pituitary Adenoma ◽  
Nasal Cavity ◽  
Nasal Obstruction ◽  
Sphenoid Sinus ◽  
Sella Turcica ◽  
Rare Condition ◽  
Lower Surface ◽  
Large Mass ◽  
Histopathological Analysis ◽  
Tumor Extension

CONTEXT: Pituitary macroadenomas are rare intracranial tumors. In a few cases, they may present aggressive behavior and invade the sphenoid sinus and nasal cavity, causing unusual symptoms. In this paper, we report an atypical case of pituitary adenoma presenting as a nasal mass.CASE REPORT: The patient was a 44-year-old woman who had had amenorrhea and galactorrhea for ten months, with associated nasal obstruction, macroglossia and acromegaly. Both growth hormone and prolactin levels were increased. Magnetic resonance imaging showed a large mass originating from the lower surface of the pituitary gland, associated with sella turcica erosion and tumor extension through the sphenoid sinus and nasal cavity. Histopathological analysis demonstrated a chromophobe pituitary adenoma with densely packed rounded epithelial cells, with some atypias and rare mitotic figures. There was no evidence of metastases.CONCLUSION: Macroadenoma invading the nasal cavity is a rare condition and few similar cases have been reported in the literature. This study contributes towards showing that tumor extension to the sphenoid sinus and nasopharynx needs to be considered and investigated in order to make an early diagnosis when atypical symptoms like nasal obstruction are present.

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