Primary tuberculosis of the temporal bone: A rare case report

Meena, Rakesh Singh; Meena, Deepali; Verma, PC

doi:10.4103/0971-7749.98303

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…Tuberculous otomastoiditis may arise from various routes including the aspiration of mucus through the Eustachian tube, direct extension from the nasopharynx, hematogenous dissemination from other tuberculous foci, and direct implantation through the EAC and tympanic membrane perforation, with the aspiration of mucus and direct extension from the nasopharynx being more common [ 8 , 13 ]. In this patient, the presence of bilateral tuberculous otomastoiditis suggested that the primary infection occurred in the cervical spine and subsequently spread directly to the paravertebral organs, including the retropharyngeal space, and to both middle ears, resulting in the destruction of mastoid air cells and the temporal bone [11] .…”

Section: Discussionmentioning

confidence: 99%

Unusual presentation of bilateral tuberculous otomastoiditis with tuberculous spondylitis in a 14-year-old child: A case report

Yunus,

Sriyana

2024

Radiology Case Reports

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Section: Discussionmentioning

confidence: 99%

Unusual presentation of bilateral tuberculous otomastoiditis with tuberculous spondylitis in a 14-year-old child: A case report

Yunus,

Sriyana

2024

Radiology Case Reports

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“…6 When TB of the temporal bone occured it usually presented in children less than 12 years of age. 7 History of exposure to TB maybe seen in upto 50% of patients. The classical presentation of multiple perforations of tympanic membrane was not seen nowadays.…”

Section: Discussionmentioning

confidence: 99%

Tubercular otomastoiditis presenting with Citelli’s abscess

Bhatia

Manu

Chakraborty

et al. 2021

Int J Otorhinolaryngol Head Neck Surg

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<p class="abstract">Tuberculosis (TB) of the temporal bone is a rare condition. Tubercular otomastoiditis presenting with Citelli’s abscess, facial nerve palsy and extensive bone destruction is an unusual condition. As far as we know this maybe the first reported case with the above diagnosis. A 26 year old male patient presented with chronic right ear discharge, decreased hearing and right side facial nerve palsy with tender fluctuant swelling in the right post aural region approximately 10×8 cm in dimension, posterior to the mastoid tip and extending into the occipital region, almost reaching up to the midline posteriorly. High resolution computed tomography (CT) scan of temporal bone and magnetic resonance imaging (MRI) of brain was done. He underwent right side mastoid exploration and drainage of the abscess under general anaesthesia. The specimens sent for investigations revealed acid fast bacilli suggestive of <em>Mycobacterium tuberculosis</em> and the patient was started on anti-tubercular therapy. In all cases of long-standing chronic otitis media (COM) especially in those with complications, possibility of TB should be ruled out. High index of suspicion is needed for early diagnosis and treatment and to prevent dreaded complications in such patients.</p>

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Primary tuberculosis of the temporal bone: A rare case report

Cited by 2 publications

References 5 publications

Unusual presentation of bilateral tuberculous otomastoiditis with tuberculous spondylitis in a 14-year-old child: A case report

Unusual presentation of bilateral tuberculous otomastoiditis with tuberculous spondylitis in a 14-year-old child: A case report

Tubercular otomastoiditis presenting with Citelli’s abscess

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