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Mycobacterium Chelonae Sinusitis in an Immunocompetent Adult

Melanie D. Hicks, BA1; Peter S. Karempelis, MD2; Seth C. Janus, MD2
[+] Author Affiliations
1University of Minnesota Medical School, Minneapolis
2Department of Otolaryngology–Head and Neck Surgery, University of Minnesota, Minneapolis
JAMA Otolaryngol Head Neck Surg. 2016;142(8):805-806. doi:10.1001/jamaoto.2016.1865.
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This case report examines an instance of Mycobacterium chelonae sinusitis found in an immunocompetent patient.

Mycobacterium chelonae is an atypical mycobacterium that commonly affects young and immunocompromised populations. Cases of M chelonae have been reported in immunocompetent patients, and those involving the head and neck have always followed prior endoscopic procedures. We present the first report, to our knowledge, of an immunocompetent patient with no history of endoscopic procedures found to have M chelonae sinusitis causing overt nasal deformity.

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Computed Tomography on Initial Presentation

Axial and coronal scans reveal a substantial septal deformity with near complete destruction of the sinus septate.

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