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.
A man in his 60s was seen for evaluation of a destructive process of his nose. He reported crusting, irritation, and recurrent sinus infections for the past 5 years. He denied any hemoptysis, dyspnea, fatigue, or weight loss. He reported no prior sinus surgeries or history of nasal trauma. He did report occasional use of nasal irrigation with tap water.
Hicks MD, Karempelis PS, Janus SC. Mycobacterium Chelonae Sinusitis in an Immunocompetent Adult. JAMA Otolaryngol Head Neck Surg. 2016;142(8):805-806. doi:10.1001/jamaoto.2016.1865