Since the advent of antituberculous therapy, tuberculosis of the ear has decreased in incidence; but of late, cases of both pulmonary and otologic tuberculosis are on the rise. In addition, the treatment of aural tuberculosis is now more difficult due to resistance to one or more of the routinely used antituberculous pharmacotherapeutic agents. Urban areas and selected populations have been particularly endangered by the re-emergence of this disease. In light of this developing situation, three cases of aural tuberculous infections are presented. Typical and atypical presentations of the disease, including history, signs, symptoms, and radiographic findings are discussed, as are treatment options. The importance of aural tuberculosis as part of the general increase in incidence and resistance of the disease is examined.
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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.
View Article and Find Full Text PDFInt Arch Otorhinolaryngol
July 2024
Department of ENT and Head and Neck, Sri Devaraj Urs Academy of Higher Education and Research, Tamaka, Kolar, Karnataka, India.
Aural polyps are a misnomer. Any lesion can present as a mass in the external auditory canal. Aural polyps are proliferation of the granulation tissue due to long standing inflammatory process with associated otalgia and otorrhea.
View Article and Find Full Text PDFOtolaryngol Head Neck Surg
July 2024
Department of Orthopaedics, Livingstone Tertiary Hospital Complex, Port Elizabeth, Port Elizabeth, South Africa.
Objective: This study aims to identify dominant causative pathogens of chronic suppurative otitis media (CSOM) and their antimicrobial susceptibility patterns. The secondary objective is to assess the cholesteatoma concurrence among this population.
Study Design: A prospective descriptive study.
Eur Ann Otorhinolaryngol Head Neck Dis
November 2022
Université Paris Cité, service d'otorhinolaryngologie et de chirurgie cervico-faciale, HEGP, Assistance Publique des hôpitaux de Paris, 20, rue Leblanc, 75015 Paris, France. Electronic address:
Objectives: Systematic review of the scientific literature dedicated to treatment modalities and results for aural tuberculosis published since the start of the 21 century.
Material And Methods: Search of the Medline, Cochrane and Embase databases for the period 2000 - 2020. Selection of articles in English, French and Spanish devoted to clinical cases and series documenting treatment of auricular tuberculosis.
Eur Ann Otorhinolaryngol Head Neck Dis
November 2022
Service d'otorhinolaryngologie et de chirurgie cervico-faciale, HEGP, université Paris Cité, AP-HP, 20, rue Leblanc, 75015 Paris, France. Electronic address:
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