A Case of Tuberculous Otitis Media

Halvorsen, Tanya; Townsend, Heather; Stauffer, William M.; Belani, Kiran; Kamat, Deepak

doi:10.1177/000992280604500114

Cited by 7 publications

(5 citation statements)

References 33 publications

(122 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In those cases, abscesses are the result of direct invasion through the anterior longitudinal ligament of the spine6). Tuberculosis of the middle ear can develop as a primary focus by direct extension from the upper respiratory tract via Eustachian tube in neonates or infants15,16). But we didn't evaluate it because the baby presented no otorrhea and intact tympanic membrane on physical examination.…”

Section: Discussionmentioning

confidence: 99%

Retropharyngeal abscess coinfected withStaphylococcus aureusandMycobacterium tuberculosisafter rhinoviral infection in a 1-month-old infant

et al. 2013

View full text Add to dashboard Cite

A retropharyngeal abscess is a rare disease entity in young infants but can develop after nasopharyngeal viral infection. Group B Streptococcus and Staphylococcus aureus are the most common pathogens in young infants, however, Mycobacterium tuberculosis is very rare. We report the case of retropharyngeal abscess and coinfection with S. aureus and M. tuberculosis in a very young infant presenting with respiratory symptoms due to upper airway obstruction. Usually tuberculous retropharyngeal abscesses are caused by the direct invasion of the bacteria from the spine via anterior longitudinal ligament of the spine. However, in this case, no associated spinal disease was observed.

show abstract

Section: Discussionmentioning

confidence: 99%

Retropharyngeal abscess coinfected withStaphylococcus aureusandMycobacterium tuberculosisafter rhinoviral infection in a 1-month-old infant

et al. 2013

View full text Add to dashboard Cite

show abstract

“…11 Complications of TOM include facial nerve palsy, ossicular necrosis, destruction of the mastoid and petrous bone, periauricular fistulas, lymphadenopathy, and intracranial tuberculomas or abscesses. 12 Nevertheless, early diagnosis and treatment play a vital role to avoid the spread of the disease and permanent injury to hearing and facial nerve function. 10 In our case, we had atypical presentation TOM as a mastoid cyst.…”

Section: Discussionmentioning

confidence: 99%

Unusual presentation of tubercular mastoid cyst

Rauniyar¹,

Shakya

2021

SAGE Open Medical Case Reports

View full text Add to dashboard Cite

Tuberculosis in the otomastoid compartment is extremely rare. The classical presentation of tuberculous otitis media includes chronic otorrhea, severe hearing loss irrespective of the disease, multiple perforations, and pale granulations in the middle ear cavity. However, most present with non-specific signs and symptoms making it a diagnostic dilemma. Here, we report a case that presented with a bony mastoid cyst which is the first case report to the best of our knowledge. A 12-year-old boy visited our center with a complaint of chronic ear discharge and hearing loss not improving with conventional antibiotic therapy. The computed tomography scan of the temporal bone revealed soft tissue opacification in the mastoid along with features suggestive of cholesteatomatous chronic otitis media. The patient underwent mastoidectomy under general anesthesia, which revealed a bony mastoid cyst filled with turbid fluid along with granulation tissues in the middle ear cleft without cholesteatoma. Final histopathology revealed tuberculous otitis media. Antitubercular chemotherapy was started and the patient’s condition recovered. Primary tuberculous mastoiditis is a rare clinical entity that requires a high index of suspicion. It can also present as chronic otorrhea with mastoid cyst, and thus need to be considered as one of the differential diagnoses.

show abstract

“…3 Within 2 months of institution of ATT the otorrhoea usually subsides, [11] and its character in follow serves as a marker to monitor treatment efficacy. 7,11 Role of surgery is limited to biopsy in doubtful cases and in management of complications like facial palsy, postauricular fistula, subperiosteal abscess, removal of bony sequestrum and intracranial extension. 29 Failure to start appropriate anti-tubercular therapy following a tympano-mastoid surgery in TOM cases can be catastrophic and cause non healing suture lines, fistulae and surgical failure.…”

Section: Discussionmentioning

confidence: 99%

Tubercular otitis media: an under diagnosed entity

Maheshwari

Panigrahi

2016

Int J Otorhinolaryngol Head Neck Surg

View full text Add to dashboard Cite

Background: Tubercular otitis media (TOM) is a well described rare entity in literature. Its characteristic diagnostic delay leads to severe irreversible complications. Diagnosis is much more difficult when it co-exists with aural cholesteatoma. Its Actual incidence is thought to be much more, than what is reported in literature. This study was carried out to establish TOM as an under diagnosed entity and to study its various presentations. Methods: A prospective study was performed in 617 cases (both recurrence and new) of chronic otitis media who gave a fully informed consent, for being investigated for a probable diagnosis of TOM, based on history and clinical findings. Histopathological examination of the granulation tissue retrieved during biopsy/mastoid exploration surgery and mycobacterial culture of the aural discharge was performed in all cases. A final diagnosis was made with either of tests being reported as positive for mycobacterium tuberculosis infection. All confirmed cases were treated with a 6 month course of anti-tubercular therapy. Results: Diagnosis of TOM was confirmed in 12 cases. M:F ratio was 1:1.4. Cholesteatoma was found to co-exist in 4 cases (33.33%). A positive histopathology report was obtained in 11 cases (91.67%) while the mycobacterial culture yielded growth in 3 cases (25%) only. Canal wall down mastoidectomy was performed in 9 cases. In all cases, a follow-up with a 6 months course of anti-tubercular therapy gave satisfactory healing with no complications. Conclusions: The incidence of TOM, a potentially dangerous entity is on a rise. Role of surgery is crucial in procuring tissue for histopathological and bacteriological examination. It is a curable disease if diagnosed in time with early institution of anti-tubercular therapy.

show abstract

A Case of Tuberculous Otitis Media

Cited by 7 publications

References 33 publications

Retropharyngeal abscess coinfected withStaphylococcus aureusandMycobacterium tuberculosisafter rhinoviral infection in a 1-month-old infant

Retropharyngeal abscess coinfected withStaphylococcus aureusandMycobacterium tuberculosisafter rhinoviral infection in a 1-month-old infant

Unusual presentation of tubercular mastoid cyst

Tubercular otitis media: an under diagnosed entity

Contact Info

Product

Resources

About