{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T13:27:19Z","timestamp":1748870839787,"version":"3.40.4"},"reference-count":15,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,7,11]]},"abstract":"<jats:p>Extrapulmonary tuberculosis is a rather uncommon and potentially challenging phenomenon. Such manifestation, particularly in the scenario of a late postoperative period, is extremely rare and requires a high index of suspicion, prompt diagnosis and appropriate treatment.<\/jats:p><jats:p>We present the case scenario of a patient with history of successfully treated pulmonary tuberculosis many years earlier, without any signs of recurrence, who developed primary nasal septal tuberculosis after undergoing septoplasty to correct his septal deviation. His postoperative course remained uneventful for 4\u2009months. He then presented with a spontaneous nasal septal abscess, which proved to be tubercular in nature on investigations. Appropriate diagnosis was established, and the patient was treated successfully with antituberculous therapy.<\/jats:p><jats:p>Recurrent tuberculosis may present a diagnostic challenge for healthcare professionals. Only a high index of suspicion, modern diagnostic tools and institution of appropriate treatment including surgical intervention as required will ensure a promising outcome.<\/jats:p>","DOI":"10.1136\/bcr-2018-224892","type":"journal-article","created":{"date-parts":[[2018,9,11]],"date-time":"2018-09-11T04:55:23Z","timestamp":1536641723000},"page":"bcr-2018-224892","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Tubercular septal abscess in a postoperative patient: a novel entity"],"prefix":"10.1136","volume":"2018","author":[{"given":"Fatima","family":"Sarwar","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sana","family":"Sheikh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naqeeb Ullah","family":"Khan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Syeda Nidaa","family":"Fatima","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,9,10]]},"reference":[{"key":"2025042706123211000_2018.sep10_1.bcr-2018-224892.1","first-page":"240","article-title":"Tuberculous lupus of the tongue, palate and gums","volume":"27","author":"Clarke","year":"1876","journal-title":"Transactions of the Pathological Society"},{"key":"2025042706123211000_2018.sep10_1.bcr-2018-224892.2","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0064898","article-title":"Tuberculosis recurrence after completion treatment in a European city: reinfection or relapse?","volume":"8","author":"Millet","year":"2013","journal-title":"PLoS One"},{"key":"2025042706123211000_2018.sep10_1.bcr-2018-224892.3","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1007\/s12070-007-0029-y","article-title":"Primary nasal tuberculosis - a case report","volume":"59","author":"Kameswaran","year":"2007","journal-title":"Indian J Otolaryngol Head Neck Surg"},{"key":"2025042706123211000_2018.sep10_1.bcr-2018-224892.4","first-page":"676","article-title":"Tubercular septal abscess","volume":"46","author":"Singh","year":"2004","journal-title":"Bombay Hospital J"},{"key":"2025042706123211000_2018.sep10_1.bcr-2018-224892.5","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.200409-1200OC"},{"key":"2025042706123211000_2018.sep10_1.bcr-2018-224892.6","doi-asserted-by":"publisher","DOI":"10.1136\/jech.2008.077560"},{"key":"2025042706123211000_2018.sep10_1.bcr-2018-224892.7","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.0030384","article-title":"Tuberculosis recurrence and mortality after successful treatment: impact of drug resistance","volume":"3","author":"Cox","year":"2006","journal-title":"PLoS Med"},{"key":"2025042706123211000_2018.sep10_1.bcr-2018-224892.8","first-page":"858","article-title":"Frequency of recurrence among MDR-tB cases \u2019successfully' treated with standardised short-course chemotherapy","volume":"6","author":"Migliori","year":"2002","journal-title":"Int J Tuberc Lung Dis"},{"key":"2025042706123211000_2018.sep10_1.bcr-2018-224892.9","first-page":"945","article-title":"Surgical site infection by mycobacterium tuberculosis following caesarian section","volume":"27","author":"Salam","year":"2011","journal-title":"Pak J Med Sci"},{"key":"2025042706123211000_2018.sep10_1.bcr-2018-224892.10","first-page":"96","article-title":"Primary nasal septal tubercular abscess in HIV patient","volume":"2","author":"Selarka","year":"2012","journal-title":"NJMR"},{"key":"2025042706123211000_2018.sep10_1.bcr-2018-224892.11","doi-asserted-by":"crossref","first-page":"26","DOI":"10.4103\/0974-2727.187921","article-title":"Primary nasal tuberculosis: resurgence or coincidence - a report of four cases with review of literature","volume":"9","author":"Khan","year":"2017","journal-title":"J Lab Physicians"},{"key":"2025042706123211000_2018.sep10_1.bcr-2018-224892.12","doi-asserted-by":"publisher","DOI":"10.4103\/0970-2113.44127"},{"key":"2025042706123211000_2018.sep10_1.bcr-2018-224892.13","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.05434-11"},{"key":"2025042706123211000_2018.sep10_1.bcr-2018-224892.14","doi-asserted-by":"publisher","DOI":"10.1093\/trstmh\/trw030"},{"key":"2025042706123211000_2018.sep10_1.bcr-2018-224892.15","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2334-10-354"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-224892","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T13:12:42Z","timestamp":1745759562000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-224892"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,9,10]]},"references-count":15,"alternative-id":["10.1136\/bcr-2018-224892"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-224892","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2018,9,10]]}}}