Tuberculous otitis media: a difficult diagnosis

Lee, P. Y. C.; Drysdale, A. J.

doi:10.1017/s0022215100122972

Cited by 47 publications

(50 citation statements)

References 7 publications

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“…Ziehl-Nielsen staining should not be considered as a sensitive test, since tuberculous lesions of the ear show low bacterial concentrations [13]. Obtaining a positive microbiologial culture is also difficult as the bacterial count is low and other microorganisms (staphylococcus, pseudomonas, Klebsiella) interfere with the growth [13].…”

Section: Discussionmentioning

confidence: 99%

Tuberculous Otitis Media—A Rare Entity or a Missed Diagnosis

Deenadayal¹,

Kumar²,

Bommakanti³

et al. 2016

IJOHNS

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Section: Discussionmentioning

confidence: 99%

Tuberculous Otitis Media—A Rare Entity or a Missed Diagnosis

Deenadayal¹,

Kumar²,

Bommakanti³

et al. 2016

IJOHNS

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“…Granulation may eventually become hyperemic and friable. 1,4,8,11,14,15 There may be lymphadenomegaly of the neck and of the anterior and posterior regions to the ear on the physical examination. 8,11,14 Complications occur mostly when the diagnosis is late, and include: peripheral facial paralysis, retroauricular fistulae, labyrinthitis, meningitis, tuberculous osteomyelitis of the petrous pyramid, subperiosteal, cerebral or cerebellar abscesses, acute mastoiditis and cellulites.…”

Section: Review Of the Literature And The Diffe-rential Diagnosismentioning

confidence: 99%

“…13,14 The test is positive for bacilli in 20 to 30% of cases. 4,6,8,15 Whenever possible, drug susceptibility testing should be done after the microorganism is isolated, to identify resistant mycobacteria. 8 Tuberculin test (PPD) -when positive, it suggests infection, but not necessarily tuberculous disease.…”

Section: Review Of the Literature And The Diffe-rential Diagnosismentioning

confidence: 99%

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Tuberculose de orelha, doença profissional?

Sens¹,

Almeida²,

Valle

et al. 2008

Rev. Bras. Otorrinolaringol.

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Tubercul osis is a rare cause of chronic suppurative otitis media and mastoiditis; the predisposing factors of this association, however, are not commonly described. There has been an alarming increase in the incidence of tuberculosis in Brazil, including tuberculous otitis media. These patients typically present multiple perforations of the tympanic membrane, an ear discharge, and progressive hearing loss. This diagnosis should be taken into account in patients that do not respond to routine therapy for fungal external otitis or bacterial otitis media. In this retrospective study, the authors describe four cases of patients with tuberculous otitis media. This sample consisted of two physicians, a chemical engineer and an underage child in whose family there were cases of active tuberculosis. Predisposing factors for tuberculous otitis were contact with family members that had tuberculosis, professional contact with patients and exposure to pathogenic microorganisms in airways.

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“…Tubercular otitis media (TOM) is rarely seen these days. The middle ear is secondarily infected, either hematogenously or via the Eustachian tube from a focus in the adjacent areas, such as the adenoids [2]. Cutaneous tuberculosis accounts for about 1% of cases of extra-pulmonary tuberculosis.…”

Section: Introductionmentioning

confidence: 99%

Tuberculous Otitis Media and Lupus Vulgaris of Face: An Unusual Association

Kohli

Kumar

Nibhoria

2011

Indian J Otolaryngol Head Neck Surg

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Tuberculous otitis media is a rare extra-pulmonary presentation of tuberculosis. Tuberculous otitis media is usually associated with pulmonary tuberculosis or tuberculosis involving nasopharynx and oropharynx. Lupus vulgaris is the most common morphological variant of cutaneous tuberculosis. The disease often affects the face and may be associated with nasal or nasopharyngeal tuberculosis. Lupus vulgaris associated with tuberculous otitis media is not reported in English literature. We report a case of 40 year old female patient who presented with symptoms of chronic suppurative otitis media and nonhealing skin lesion of face. The biopsy of skin lesion showed granulomatous pathology and helped us to reach a diagnosis of tuberculous otitis media.

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Tuberculous otitis media: a difficult diagnosis

Abstract: Two cases of tuberculous otitis media, both presenting with otorrhoea and facial paralysis, are reported. The difficulties of diagnosing this rare condition are highlighted, and a brief review of its clinical features from other series is presented.

Cited by 47 publications

References 7 publications

Tuberculous Otitis Media—A Rare Entity or a Missed Diagnosis

Tuberculous Otitis Media—A Rare Entity or a Missed Diagnosis

Tuberculose de orelha, doença profissional?

Tuberculous Otitis Media and Lupus Vulgaris of Face: An Unusual Association

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