Primary Tuberculosis of the Ethmoids Mimicking Tolosa Hunt Syndrome: A Case Report

Incidence of primary sinonasal tuberculosis (TB) is only 1.8% of all cases of tuberculosis and among them the involvement of ethmoidal sinuses is very rare.The most common clinical presentation of sinonasal TB is that of persisting rhinosinusitis, resistant to usual treatment.We report a case of primary tuberculosis of the ethmoids and the orbit which presented with symptoms mimicking Tolosa Hunt syndrome (THS).Through this case we wish to highlight this rare clinical presentation of paranasal sinus tuberculosis and the subsequent management of this patient.