Tuberculosis of nose, nasopharynx and paranasal sinus is extremely rare even in countries with a high incidence of pulmonary disease. We present two cases of primary nasal tuberculosis managed in last three years in our department with 2500 to 3000 patient visits per month. One case simulated basal cell carcinoma while other case was an ATT defaulter. Both the cases were managed on RNTCP guidelines. Nasal tuberculosis needs high level of suspicion and is diagnosed with laboratory support.
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