Chronic purulent nasal discharge
BMJ 2017; 357 doi: https://doi.org/10.1136/bmj.j2061 (Published 03 May 2017) Cite this as: BMJ 2017;357:j2061
- Zhenxiao Huang, consultant otolaryngologist,
- Jingying Ma, consultant otolaryngologist
- Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, People’s Republic of China
- Correspondence to Z Huang zhenxiaohuang{at}hotmail.com or J Ma rebecca7481{at}aliyun.com
A 49 year old woman was referred to a community hospital after experiencing persistent purulent nasal discharge for three years. She had not responded to antibiotics. Subsequently, she was referred to a department of otolaryngology for surgical intervention. She underwent a non-contrast computed tomography (CT) scan of her sinuses (fig 1⇓). Based on the CT scan, what is the diagnosis?
Fig 1 Coronal computed tomography (CT) scan of the sinus
Answer
A fungal ball, also known as a mycetoma, in the right nasal cavity.
Discussion
The coronal sinus CT scan shows a fungal ball in the right nasal cavity …
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