Juliana Martínez-Rodríguez, Emergency Department, Hospital Universitario Hernando Moncaleano Perdomo, Neiva, coLOMBIA
Mayra A. Mora, Emergency Department, Hospital Universitario Hernando Moncaleano Perdomo, Neiva; School of Health, Universidad Surcolombiana, Neiva; Colombia
Kenny Buitrago-Toro, Facultad de Salud, Universidad Surcolombiana, Neiva; Grupo de Investigación MI Dneuropsia, Universidad Surcolombiana, Neiva; Departamento de Medicina Interna, Universidad Surcolombiana, Neiva; Infeccioso Departamento de Enfermedades, Universidad Pontificia Bolivariana, Medellín; Colombia
Silvana Jiménez-Salazar, Escuela de Salud, Universidad Surcolombiana, Neiva; Departamento de Medicina Interna, Universidad Surcolombiana, Neiva; Colombia
Lina Ma. Leiva, Escuela de Salud, Universidad Surcolombiana, Neiva; Departamento de Medicina Interna, Universidad Surcolombiana, Neiva; Colombia
Luis F. Cárdenas-Losada, Emergency Department, Hospital Universitario Hernando Moncaleano Perdomo, Neiva; School of Health, Universidad Surcolombiana, Neiva; Hemato-Oncology Service, Hospital Universitario Hernando Moncaleano Perdomo, Neiva. Colombia

A 73-year-old man presented to the emergency department for 2 months of erythema, warmth, and blushing on the tip of the nose, with progression to ulcerative and granulomatous tissue and posterior necrotizing compromise of the nasal septum, despite antibiotic schemes. A diagnosis of lethal midline granuloma was made, a disease with a wide spectrum of etiological diagnostic possibilities and usually a poor prognosis. A biopsy sample confirms a NK/T-cell lymphoma. The patient did not accept the proposed chemotherapeutic treatment. He requested voluntary discharge and later died.

Keywords: Extranodal NK-T-cell lymphoma. Lethal midline granuloma. Colombia.