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Myocbacterium-Avium Intracellulare Associated Inflammatory Pseudotumor of the Anterior Nasal Cavity

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Abstract

In this case report, we describe an unusual case of mycobacterial associated inflammatory pseudotumor that occurred in a patient with a previous history of cocaine abuse. We discuss inflammatory pseudotumor (IPT) in general and emphasize the rare entity where an associated mycobacterial infection is seen. The histogenesis is not yet completely understood. The lesion can pose challenges for practicing pathologists and a misdiagnosis of malignancy can occur at multiple facets. A discussion about the differential diagnosis and clues to make the distinction is presented. In addition to spindle cell proliferation, the presence of a background of mixed inflammatory cell infiltrate and foamy macrophages are clues to make the diagnosis. In the case of mycobacteria associated IPT, Acid Fast Bacilli (AFB) stains will easily highlight the organisms confirming the diagnosis.

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The authors claim no conflict of interests

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Authors and Affiliations

  1. Department of Internal Medicine/Infectious Diseases Section, James H. Quillen VA Medical Center, Mountain Home, TN, 37684, USA

    Dima Youssef

  2. Department of Pathology and Laboratory Medicine, James H Quillen VA Medical Center, Lamont and Veterans Way, P O Box 4000, Mountain Home, TN, 37684, USA

    Sadaf Ilyas, Humera Chaudhary & Mousa A. Al-Abbadi

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  1. Sadaf Ilyas
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  2. Dima Youssef
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  3. Humera Chaudhary
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  4. Mousa A. Al-Abbadi
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Corresponding author

Correspondence to Mousa A. Al-Abbadi.

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Disclaimer: This publication is the result of work supported with resources and the use of facilities at the James H. Quillen Veterans Affairs Medical Center. The contents in this publication do not represent the views of the Department of Veterans Affairs or the United States Government.

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Ilyas, S., Youssef, D., Chaudhary, H. et al. Myocbacterium-Avium Intracellulare Associated Inflammatory Pseudotumor of the Anterior Nasal Cavity. Head and Neck Pathol 5, 296–301 (2011). https://doi.org/10.1007/s12105-011-0248-0

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  • DOI: https://doi.org/10.1007/s12105-011-0248-0

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