A rare presentation of a paediatric patient with acute otomastoiditis media caused by mycobacterium tuberculosis resulting in intracranial complications

Jayakody, Nimeshi; Faoury, Morad; Hellier, W. P. L.; Ismail-Koch, Hasnaa; Patel, Sanjay; Burgess, Andrea

doi:10.1093/jscr/rjz093

Cited by 9 publications

(10 citation statements)

References 8 publications

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“…En cuanto a la afectación, la unilateral fue más frecuente (n=33, 76,74%), aunque 10 presentaron afectación bilateral (23,25%). Respecto a la sintomatología, el síntoma predominante fue la otorrea, presente en el 100% de los casos, seguido de pérdida auditiva (n=37; 86,05%), perforación timpánica (n=19; 44,19%), parálisis facial (N=12; 27,91%) y otalgia (n=13; 30,23%) [2,3,7,8,14,16,21,22,[24][25][26][27]. Otros síntomas menos comunes fueron tinnitus y vértigos (ambos n=4; 9,30%).…”

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“…Se obtuvieron cultivos positivos para M. tuberculosis com- [2,[6][7][8][9][10][11]15,16,[18][19][20][21][22][23][24][25]27], todos ellos retrospectivos. El total de pacientes fue de 43 con edades comprendidas en el rango: 3 meses-87 años, siendo en su mayoría mujeres (n=30, 69,76%) (Tabla 1).…”

Section: Presentación Del Casounclassified

“…El total de pacientes fue de 43 con edades comprendidas en el rango: 3 meses-87 años, siendo en su mayoría mujeres (n=30, 69,76%) (Tabla 1). El área geográfica de los artículos seleccionados incluye los países: Alemania (8%) [5,6], Croacia (4%) [2], España (20%) [3,[7][8][9]26], Francia (8%) [10,11], Grecia (8%) [12,13], Hungría (4%) [14], Italia (16%) [15][16][17][18], Países Bajos (4%) [19], Portugal (4%) [20], Rumania (4%) [21] y UK (20%) [22][23][24][25]27].…”

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“…Para 18 de los 43 pacientes (41,86%) se presentan antecedentes médicos y/o sociales significativos [2,3,5,7,[9][10][11][12][16][17][18][19][20]23,24,27]. Tres (6,97%) provenían de países de América del Sur [5,7], 3 (6,97%) del continente asiático [17,18,24] y 5 (11,62%) del africano [9][10][11]19,23].…”

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Tuberculous otitis media: A case presentation and review of european literature

Aguilera-Franco,

Franco-Acosta,

Yépez-Naranjo

et al. 2023

Rev Esp Quimioter

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Tuberculous otitis media (TOM) is a rare affectation in our environment that represents a challenge in its diagnosis due to the non-specific symptoms that it usually presents. This paper presents our experience in the diagnosis of a case of TOM in a 66-year-old woman with hearing loss and chronic otorrhea of more than 6 months of evolution that did not respond to conventional treatments. In addition, a review of the cases published in the last 20 years (2000-2022) in countries of the European Union (EU) is carried out. The most common symptoms were otorrhea (n=43; 100%), hearing loss (n=37; 86.05%), eardrum perforation (n=19; 44.18%), facial paralysis (n=12, 27,91%) and ear pain (n=13; 30,23%). The most used sample for diagnosis was the biopsy obtained by mastoidectomy (n=34; 79.06%). All patients were given antituberculous therapy for a mean duration of 8.11 months (range, 6-12 months). The most frequent aftereffect was hearing loss (n=28; 65.12%). TOM should be included in the differential diagnosis of chronic suppurative otitis, since early diagnosis and treatment reduce the probability of suffering irreversible sequelae.

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Tuberculous otitis media: A case presentation and review of european literature

Aguilera-Franco,

Franco-Acosta,

Yépez-Naranjo

et al. 2023

Rev Esp Quimioter

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“…Tuberculous otitis media (TOM) is rare, comprising 0.04% of chronic otitis media (COM) cases [2]. Primary TOM is even more uncommon, and only a few paediatric cases have been reported in the English literature [3].…”

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confidence: 99%

Tuberculous otitis media masquerading as malignancy: a diagnostic challenge

Thomas

Varghese

Agarwal

et al. 2022

Egypt J Radiol Nucl Med

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Background Primary tuberculous otitis media is rare in the paediatric age group, and its neuro-otogenic complication of involvement of cerebellopontine angle in a child is very unusual. Tuberculosis should always be considered as a rare but possible aetiology for such neuro-otogenic lesions. Case presentation We report a case of a 13-year-old female patient who presented with left ear discharge and mass-like lesion on otoscopy. High-resolution computed tomography (HRCT) temporal bone showed erosion of petrous temporal bone, external auditory canal and ossicles. Contrast-enhanced MRI (CEMRI) revealed peripherally enhancing hetero-intense lesion epicentred in the petrous and mastoid part of left temporal bone extending into the left cerebellopontine angle and external auditory canal. Homogenously enhancing soft tissue was seen in the left occipital condyle with sigmoid sinus thrombosis and cervical lymphadenopathy. There was also a single enhancing left temporal lobe lesion. Radiological and clinical assessment was suggestive of malignant aetiology. However, biopsy revealed tuberculosis and anti-tubercular therapy (ATT) was initiated. Interval imaging showed an adequate response to treatment. Conclusions Tuberculous otitis media often masquerades as malignancy on clinical and imaging assessment.

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