La tuberculose extra-ganglionnaire primitive de la sphère ORL: à propos de 15 cas

Abstract

Les localisations ORL extra ganglionnaires de la tuberculose sont rares. La symptomatologie clinique ainsi que les examens paracliniques sont souvent trompeurs,posant ainsi le problème de diagnostic différentiel avec la pathologie tumorale. Nous rapportons 15 cas de localisations extra ganglionnaires de tuberculose, colligés au service ORL et CCF de l'Hopital Militaire Avicenne de Marrakech colligés entre 2009 et 2013. L’âge moyen de nos patients est de 33 ans. L’étude topographique a montré 6 cas au niveau du cavum, un cas de miliaire tuberculeuse pharyngée, 4 cas laryngés; 2 localisations auriculaires; 1 parotidienne et 1 localisation sous maxillaire. Le diagnostic était anatomopathologiquedans tous les cas. Tous nos patients ont reçu un traitement antituberculeux avec une bonne évolution. Mots-clés: Tuberculose, amygdale, rhinopharynx, larynx, glandes salivaires,Oreille moyenne.

Tuberculosis: An Unusual Cause of Otitis Media and Mastoiditis in Children

“…Tuberculosis is one of the most common infectious diseases of developing countries. It rarely affects the middle ear [2,3]. It is characterized by painless otorrhoea which fails to respond to the usual antimicrobial treatment [4,5].…”

“…Combination chemotherapy is prescribed [10]. Surgery may be required in some cases to remove sequestra and improve drainage [2,10].…”

“…A high level of clinical suspicion is needed for early diagnosis and antitubercular therapy should be started as soon as possible to prevent the possible complication [2,3,11].…”

“…Early treatment is a decisive factor in preventing possible complications. In most patients, tuberculostatic drugs drastically improve the prognosis [2]. We present a case of TOM as a rare cause of chronic suppurative infection of the middle ear.…”

“…Tuberculosis is a chronic bacterial infection caused by Mycobacterium tuberculosis. Tuberculous otitis media (TOM) is rare, 3 to 5% of the cases of chronic suppurative otitis media were caused by tuberculosis [1,2]. The signs and symptoms are variable and nonspecific and often differ from classic descriptions.…”