Abstract
Objectives:
To demonstrate the different clinical presentations of tuberculous otitis media and the management of selected cases.
Case report:
We report four cases of tuberculous otitis media with different clinical presentations, encountered between 1998 and 2002. None of the cases showed improvement with local or systemic antibiotics. The diagnosis, complications and management of these cases are discussed.
Conclusions:
A high index of clinical suspicion of tuberculous otitis media is required in patients who do not respond to standard antibiotic therapy for (nontuberculous) chronic middle-ear infection. Early diagnosis and treatment of tuberculous otitis media is important to avoid irreversible complications, surgical intervention and propagation of the disease.
MeSH terms
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Adult
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Anti-Bacterial Agents / therapeutic use
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Antitubercular Agents / therapeutic use
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Audiometry, Pure-Tone
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Child, Preschool
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Diagnosis, Differential
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Earache / etiology
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Facial Paralysis / diagnosis
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Facial Paralysis / surgery
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Female
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Granulation Tissue / microbiology
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Hearing Loss, Mixed Conductive-Sensorineural / diagnosis
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Hearing Loss, Mixed Conductive-Sensorineural / etiology
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Humans
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Malaysia / epidemiology
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Male
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Mastoid / diagnostic imaging
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Mastoid / surgery
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Otitis Media, Suppurative / diagnosis*
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Otitis Media, Suppurative / etiology
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Otitis Media, Suppurative / therapy
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Radiography
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Treatment Outcome
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Tuberculosis / complications
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Tuberculosis / diagnosis*
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Tuberculosis / therapy
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Tuberculosis, Lymph Node / diagnosis
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Tuberculosis, Lymph Node / drug therapy
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Tympanic Membrane Perforation / etiology
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Young Adult
Substances
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Anti-Bacterial Agents
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Antitubercular Agents