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Tuberculosis: An Unusual Cause of Otitis Media and Mastoiditis in Children

Received: 2 December 2017     Accepted: 1 February 2018     Published: 8 March 2018
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Abstract

Tuberculous otitis media (TOM) is a rare cause of chronic suppurative infection of the middle ear. Clinical symptoms are nonspecific making delayed diagnosis. We present the case of an infant, aged 22 months, having immune deficiency, who was admitted for a left externalized otomastoiditis. The radiological assessment confirmed this diagnosis. The child had a surgical drainage of the collection with biopsy of granulation tissue whose histopathological examination found a caseo-follicular tuberculosis. Despite its rarity, TOM is associated with a high rate of complications. The diagnosis should be considered in any suppurative chronic otitis resistant to standard treatment.

Published in International Journal of Otorhinolaryngology (Volume 4, Issue 1)
DOI 10.11648/j.ijo.20180401.13
Page(s) 11-12
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2018. Published by Science Publishing Group

Keywords

Tuberculous, Otitis Media, Mastoid, Otorrhea

References
[1] Lim PS, Goh BS, Saim L. Tuberculosis otitis media. Brunei Int Med J. 2013;9(5):329-33.
[2] Touati MM, Darouassi Y, Chihani M, Lakouichmi M, Tourabi K, Ammar H. La tuberculose extra-ganglionnaire primitive de la sphère ORL: à propos de 15 cas. Pan Afr Med J. 2014:19.
[3] Akkara SA, Singhania A, Akkara AG, Shah A, Adalja M, Chauhan N. A study of manifestations of extrapulmonary tuberculosis in the ENT region. Indian J Otolaryngol Head Neck Surg. 2014;66(1):46-50.
[4] Abes FL, Abes G, Jamir J. The Variable Clinical Presentation of Tuberculosis Otitis Media and the Importance of Early Detection. J Laryngol Otol. 2016;130-90.
[5] Ješić S, Stošić S, Milenković B, Nešić V, Dudvarski Z, Jotić A. Middle ear tuberculosis: diagnostic criteria. Srp Arh Celok Lek. 2009;137(7-8):346-50.
[6] Hoca NT, Ogretensoy M, Dayioglu D, Akbas N. Tuberculous otitis media-A case report. Turkish Respiratory Journal. 2008;9(1):048-50.
[7] Araújo MF, Pinheiro TG, Raymundo IT, Soares VYR, Araújo PIM, Melo Martins R. Tuberculous Otitis Media. Int Adv Otol. 2011;7:413-7.
[8] Pitcher R, Thandar MA. Bilateral tuberculous mastoiditis and facial palsy. South Afr Med J. 2008;94(11):893.
[9] Quaranta N, Petrone P, Michailidou A, Miragliotta L, Santantonio M, Del Prete R. Tuberculous Otitis Media with Facial Paralysis: A Clinical and Microbiological Diagnosis—A Case Report. Case Rep Infect Dis. 2011;2011.
[10] Aremu S, Alabi B. Tuberculous otitis media: a case presentation and review of the literature. BMJ Case Rep. 2010.
[11] Scorpecci A, Bozzola E, Villani A, Two new cases of chronic tuberculosis in children, Acta Otorhinolaryngol Ital. 2015; 35(2): 125-128.
Cite This Article
  • APA Style

    Rim Bechraoui, Semia Meherzi, Sana Mahfoudhi, Houda Chahed, Azza Mediouni, et al. (2018). Tuberculosis: An Unusual Cause of Otitis Media and Mastoiditis in Children. International Journal of Otorhinolaryngology, 4(1), 11-12. https://doi.org/10.11648/j.ijo.20180401.13

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    ACS Style

    Rim Bechraoui; Semia Meherzi; Sana Mahfoudhi; Houda Chahed; Azza Mediouni, et al. Tuberculosis: An Unusual Cause of Otitis Media and Mastoiditis in Children. Int. J. Otorhinolaryngol. 2018, 4(1), 11-12. doi: 10.11648/j.ijo.20180401.13

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    AMA Style

    Rim Bechraoui, Semia Meherzi, Sana Mahfoudhi, Houda Chahed, Azza Mediouni, et al. Tuberculosis: An Unusual Cause of Otitis Media and Mastoiditis in Children. Int J Otorhinolaryngol. 2018;4(1):11-12. doi: 10.11648/j.ijo.20180401.13

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  • @article{10.11648/j.ijo.20180401.13,
      author = {Rim Bechraoui and Semia Meherzi and Sana Mahfoudhi and Houda Chahed and Azza Mediouni and Jihene Marrakchi and Mohamed Ben Amor and Najeh Beltaief and Rim Zainine and Ghazi Besbes},
      title = {Tuberculosis: An Unusual Cause of Otitis Media and Mastoiditis in Children},
      journal = {International Journal of Otorhinolaryngology},
      volume = {4},
      number = {1},
      pages = {11-12},
      doi = {10.11648/j.ijo.20180401.13},
      url = {https://doi.org/10.11648/j.ijo.20180401.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijo.20180401.13},
      abstract = {Tuberculous otitis media (TOM) is a rare cause of chronic suppurative infection of the middle ear. Clinical symptoms are nonspecific making delayed diagnosis. We present the case of an infant, aged 22 months, having immune deficiency, who was admitted for a left externalized otomastoiditis. The radiological assessment confirmed this diagnosis. The child had a surgical drainage of the collection with biopsy of granulation tissue whose histopathological examination found a caseo-follicular tuberculosis. Despite its rarity, TOM is associated with a high rate of complications. The diagnosis should be considered in any suppurative chronic otitis resistant to standard treatment.},
     year = {2018}
    }
    

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    AU  - Rim Bechraoui
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    AU  - Mohamed Ben Amor
    AU  - Najeh Beltaief
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    JF  - International Journal of Otorhinolaryngology
    JO  - International Journal of Otorhinolaryngology
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    AB  - Tuberculous otitis media (TOM) is a rare cause of chronic suppurative infection of the middle ear. Clinical symptoms are nonspecific making delayed diagnosis. We present the case of an infant, aged 22 months, having immune deficiency, who was admitted for a left externalized otomastoiditis. The radiological assessment confirmed this diagnosis. The child had a surgical drainage of the collection with biopsy of granulation tissue whose histopathological examination found a caseo-follicular tuberculosis. Despite its rarity, TOM is associated with a high rate of complications. The diagnosis should be considered in any suppurative chronic otitis resistant to standard treatment.
    VL  - 4
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Author Information
  • Department of Oto-Rhino-Laryngology and Cervico-Facial Surgery of ‘Rabta’ Hospital, Medecine Faculty, El Manar University, Tunis, Tunisia

  • Department of Oto-Rhino-Laryngology and Cervico-Facial Surgery of ‘Rabta’ Hospital, Medecine Faculty, El Manar University, Tunis, Tunisia

  • Department of Oto-Rhino-Laryngology and Cervico-Facial Surgery of ‘Rabta’ Hospital, Medecine Faculty, El Manar University, Tunis, Tunisia

  • Department of Oto-Rhino-Laryngology and Cervico-Facial Surgery of ‘Rabta’ Hospital, Medecine Faculty, El Manar University, Tunis, Tunisia

  • Department of Oto-Rhino-Laryngology and Cervico-Facial Surgery of ‘Rabta’ Hospital, Medecine Faculty, El Manar University, Tunis, Tunisia

  • Department of Oto-Rhino-Laryngology and Cervico-Facial Surgery of ‘Rabta’ Hospital, Medecine Faculty, El Manar University, Tunis, Tunisia

  • Department of Oto-Rhino-Laryngology and Cervico-Facial Surgery of ‘Rabta’ Hospital, Medecine Faculty, El Manar University, Tunis, Tunisia

  • Department of Oto-Rhino-Laryngology and Cervico-Facial Surgery of ‘Rabta’ Hospital, Medecine Faculty, El Manar University, Tunis, Tunisia

  • Department of Oto-Rhino-Laryngology and Cervico-Facial Surgery of ‘Rabta’ Hospital, Medecine Faculty, El Manar University, Tunis, Tunisia

  • Department of Oto-Rhino-Laryngology and Cervico-Facial Surgery of ‘Rabta’ Hospital, Medecine Faculty, El Manar University, Tunis, Tunisia

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