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[When tuberculosis makes you deaf].

Rev Mal Respir

January 2025

Centre de lutte antituberculeuse de Nice, Hôpital Pasteur, 30, Voie Romaine, 06000 Nice, France. Electronic address:

Introduction: Tuberculous otomastoiditis is a rare and serious infection that most often occurs in association with pulmonary involvement. It is easy to diagnose when the two pathologies are associated and isolated. We herein report the case of a patient initially hospitalized for Pseudomonas aeruginosa necrotising otitis externa (NOE), which delayed the diagnosis of tuberculous otomastoiditis.

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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.

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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.

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Tuberculous Otomastoiditis: A Diagnostic Dilemma.

Cureus

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.

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Tuberculous otomastoiditis in children complicated by homolateral sigmoid sinus thrombosis: a case report.

Pan 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.

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