Skip to main content Accessibility help
×
Home

Challenges encountered in the diagnosis of tuberculous otitis media: case report and literature review

  • O T Dale (a1), A R Clarke (a1) and A J Drysdale (a1)

Abstract

Objective:

To report a rare case of tuberculous otitis media, and to highlight barriers to clinical and microbiological diagnosis.

Method:

Case report and literature review.

Results:

Tuberculous otitis media is a rare cause of chronic ear infection in the UK. Its symptoms may mimic a range of other otological conditions, including otitis media, chronic suppurative otitis media, cholesteatoma and necrotising otitis media.

Conclusion:

This case report highlights the challenges of obtaining a clinical diagnosis of tuberculous otitis media, and emphasises the fact that screening for acid-fast bacilli is not sufficient, in isolation, to rule out mycobacterial infection.

Copyright

Corresponding author

Address for correspondence: Mr Oliver T Dale, Department of Plastic Surgery, Frenchay Hospital, Bristol BS16 1LE, UK Fax: + 44 (0)1332 347141 E-mail: otdale@doctors.net.uk

References

Hide All
1Weiner, GM, O'Connell, JE, Pahor, AL. The role of surgery in tuberculous mastoiditis: appropriate chemotherapy is not always enough. J Laryngol Otol 1997;111:752–3
2Vaamonde, P, Castro, C, García-Soto, N, Labella, T, Lozano, A. Tuberculous otitis media: a significant diagnostic challenge. Otolaryngol Head Neck Surg 2004;130:759–66
3Vital, V, Printza, A, Zaraboukas, T. Tuberculous otitis media: a difficult diagnosis and report of four cases. Pathol Res Pract 2002;198:31–5
4Wallmer, LJ. Tuberculous otitis media. Laryngoscope 1953;63:1058–77
5Rhoa, MH, Kimb, DW, Kima, SS, Sunga, YS, Kwona, JS, Leea, SW. Tuberculous otomastoiditis on high-resolution temporal bone CT: comparison with nontuberculous otomastoiditis with and without cholesteatoma. Am J Neuroradiol 2007;28:493–6
6Hoca, NT, Ögretensoy, M, Dayioglu, D, Akbafl, N. Tuberculous otitis media – a case report. Turkish Respiratory Journal 2008;9:4850
7Kirsch, CM, Wehner, JH, Jensen, WA, Kagawa, FT, Campagna, AC. Tuberculous otitis media. South Med J 1995;88:363–6
8Lee, PY, Drysdale, AJ. Tuberculous otitis media: a difficult diagnosis. J Laryngol Otol 1993;107:339–41
9Cleary, KR, Batsakis, JG. Mycobacterial disease of the head and neck: current perspective. Ann Otol Rhinol Laryngol 1995;104:830–3
10Williams, RG, Douglas-Jones, T. Mycobacterium marches back. J Laryngol Otol 1995;109:515

Keywords

Challenges encountered in the diagnosis of tuberculous otitis media: case report and literature review

  • O T Dale (a1), A R Clarke (a1) and A J Drysdale (a1)

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed