Perplexity in Managing Coeval Existence of Granulomatous Disorders: A Case Report

We present a case of rhinosporidiosis coexisting with tuberculous cervical lymphadenitis in a patient, both of which are granulomatous diseases. Rhinosporidiosis can also cause lymphatic spread to regional lymphadenitis with features of granulomas in histopathology. We diagnosed 2 granulomatous diseases in this patient by confirming tuberculous lymphadenitis using the GeneXpert test. Treatment was newly formulated with multiple drugs to address both granulomatous diseases.