Although tuberculosis can affect various organs and tissues, the lung is the site most commonly involved. Extrapulmonary tuberculosis (EPTB) involves relatively inaccessible and variable sites and is consequently often overlooked by clinicians. The ear is a notably very rare site of EPTB, and the diagnosis is difficult because of the variable and confusing signs and symptoms. To our knowledge, this is the first case in which tuberculous otitis media and endobronchial tuberculosis coexisted.
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http://dx.doi.org/10.1007/s10156-012-0399-2 | DOI Listing |
Ocul Immunol Inflamm
December 2024
Division of Infectious Diseases, Integrated Health Services Institute (IHI), Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.
Purpose: To report a complex case of serpiginous-like choroiditis (SLC) in a patient with anti-neutrophil cytoplasmic antibody (ANCA)-anti-proteinase 3 (PR3)-associated vasculitis with systemic involvement.
Methods: Case report.
Results: A 40-year-old male from a tuberculosis (TB)-endemic region presented with bilateral active SLC lesions.
Vestn Otorinolaringol
November 2024
Federal Scientific and Clinical Center for Children and Adolescents of the Federal Medical and Biological Agency, Moscow, Russia.
Tuberculous otitis media is a rare condition that does not have a characteristic clinical picture. Early diagnosis helps to start specific treatment in a timely manner and prevent the development of complications. This article describes a clinical case of tuberculous otitis media in a 17-year-old adolescent.
View Article and Find Full Text PDFCureus
October 2024
Otolaryngology - Head and Neck Surgery, Kulliyyah (Faculty) of Medicine, International Islamic University Malaysia, Kuantan, MYS.
Where tuberculous (TB) infection is prevalent, the diagnosis of TB otomastoiditis (TOM) should be considered in a chronically discharging ear that does not respond to standard medical treatment. We are reporting a case of TB otomastoiditis with an adjacent deep neck abscess in a healthy 18-year-old male. He presented with a five five-month history of right otorrhea with hearing loss and a concurrent right level two neck swelling, without any signs of acute infection.
View Article and Find Full Text PDFPan Afr Med J
November 2024
Department of Otolaryngology and Head and Neck Surgery, Faculty of Medicine and Pharmacy of Fes, Hassan II University Hospital, University Sidi Mohamed Ben Abdellah, Fes, Morocco.
Tuberculosis is a major public health problem in Morocco and most of the developing countries but tuberculous otomastoiditis is quite rare. Here we report a case where a seven-year-old patient had chronic right otomastoiditis and retro-auricular fistula, whose specificity is its persistence after prolonged unsuccessful medical and surgical therapy for more than 2 months, and its complication by homolateral sigmoid sinus thrombosis. Computed Tomography (CT) scan of temporal bones showed complete destruction of right mastoid cells and a hypodense complement in the right middle ear.
View Article and Find Full Text PDFInt J Surg Case Rep
November 2024
Department of Anatomical Pathology Faculty of Medicine, Universitas Jenderal Soedirman-Margono Soekarjo Regional Hospital, Purwokerto, Central Java, Indonesia.
Introduction: Bezold's abscess is a rare complication of chronic suppurative otitis media since the advent of antibiotics. Otitis media can also result from uncommon infections such as tuberculosis, with a diagnosis often delayed due to clinical symptoms that closely resemble other chronic middle ear conditions.
Case Report: We present a case of Bezold's abscess as a complication of primary tuberculous otitis media in a 21-year-old male who reported right-sided neck swelling for four days, accompanied by fever, difficulty opening his mouth, and a history of persistent purulent discharge in both ears for six months that did not respond to topical antibiotics.
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