Primary Tubercular Otitis Media: A Case Repor

Abstract

Objective: To consider one of the differential diagnoses of aural polyp as tubercular otitis media and the treatment measures henceforth.Case Presentation: A 23 year-old man presented to us with complaint of right ear discharge with fullness and not improving with the routine antimicrobial therapy. Examination showed an aural polyp filling entire EAC (external auditory canal) with foul smelling discharge, PTA (pure tone audiogram) showed profound hearing loss and sclerotic mastoid was seen in x-ray of mastoid. Radical mastoidectomy was performed and the HPE (histopathology examination) of the granulations confirmed tuberculosis. Conclusion:Tuberculosis can be one of the causes of aural polyp despite a rare entity. However, it has a good prognosis on prompt diagnosis and treatment with surgery and the chemotherapy.