AI Article Synopsis
- Tuberculosis (TB) is a major global health issue, with extrapulmonary TB (EPTB) accounting for 15-20% of cases; diagnosing it is difficult due to nonspecific symptoms, especially in at-risk groups.
- A case of a 25-year-old male with ear discharge and swelling led to imaging that revealed rare TB involvement in the parotid and mastoid regions, ultimately confirmed by microbiological testing showing Rifampicin-resistant mycobacteria.
- The study highlights the need for high suspicion of TB in unusual infections, the importance of advanced imaging for diagnosis, and the necessity for microbiological confirmation to ensure effective and timely treatment.
Article Abstract
Tuberculosis (TB) remains a global health concern, with extrapulmonary TB (EPTB) comprising 15-20% of cases. Diagnosis is challenging due to nonspecific imaging findings, necessitating consideration in high-risk populations. Understanding TB's pathogenesis, including lymphatic and hematogenous spread, is crucial for accurate diagnosis. Radiological assessments play a pivotal role in diagnosis and treatment planning. A 25-year-old male presented with left ear discharge and progressive pre- and infra-auricular swelling. Imaging revealed extensive involvement of the parotid and mastoid regions, posing diagnostic dilemmas. Microbiological confirmation via USG-guided aspiration confirmed mycobacterial TB with Rifampicin resistance, prompting prompt initiation of anti-tubercular therapy. TB extending to the parotid and mastoid regions is rare but warrants consideration in ITF lesions. This case emphasizes the importance of maintaining a high index of suspicion for TB, utilizing advanced imaging modalities, and obtaining microbiological confirmation for precise diagnosis and timely intervention. Further research is needed to optimize diagnostic and therapeutic approaches for atypical ITF infections.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569032 | PMC |
| http://dx.doi.org/10.1007/s12070-024-05056-1 | DOI Listing |
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