Tuberculous Otitis Media

Jeang, Ming K.

doi:10.1001/jama.1983.03330400077031

Cited by 26 publications

(3 citation statements)

References 8 publications

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“…9,14,24 In addition, although more than 75% of patients have a positive tuberculin skin test, 4,8,11,14,15,20,21 only about half have abnormal chest radiographs 4,5,9,24 and 40% have no other evidence of tuberculosis. 4,7,9,15,19 Complications of TB otitis media include facial ner ve palsy, 8,9,[11][12][13]15,17,24,26 necrosis of the ossicles, 4,7,17,21,23,26 bony destruction of the mastoid, 4,6,15,21,27 and bony destruction of the petrous bones. 20 Periauricular fistulas, 9,10,15,26 lymphadenopathy, 15,19,27 and intracranial tuberculomas or abscesses 9 are rare complications.…”

Section: Discussion and Review Of The Literaturementioning

confidence: 99%

A Case of Tuberculous Otitis Media

Halvorsen¹,

Townsend

Stauffer

et al. 2006

Clin Pediatr (Phila)

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Section: Discussion and Review Of The Literaturementioning

confidence: 99%

A Case of Tuberculous Otitis Media

Halvorsen¹,

Townsend

Stauffer

et al. 2006

Clin Pediatr (Phila)

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“…That rate, however, was elevated in younger patients; in 1915, 50% of otitis media in the first year of life was caused by TB in a report from Scotland, yet this figure dropped to 2%, by adolescence (5). Tuberculosis accounts for approximately 0.04% of all cases of chronic suppurative otitis media (7). Tuberculosis accounts for approximately 0.04% of all cases of chronic suppurative otitis media (7).…”

Section: Hypothesismentioning

confidence: 99%

Tuberculous Otitis in Infants

Nicolau¹,

Northrop²,

Eavey³

2006

Otology &Amp; Neurotology

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The histological findings suggest that a clinical presentation of infantile tuberculous otitis media and mastoiditis could be a patient with otoscopic findings consistent with common otitis media with an intact tympanic membrane, likely in conjunction with inner ear symptoms. Lacking the classic finding of multiple tympanic membrane perforations, tuberculous otitis might be underappreciated in this population.

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“…Surgery may have a role in the resolution of the disease but is not curative by itself, and its contribution is unclear. 10,16,17,21 Operations to repair damage to the middle ear and eardrum should be delayed until the infection has been eradicated.…”

mentioning

confidence: 99%

Case 13-1999

Vernick¹,

Keel²

1999

N Engl J Med

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A 20-year-old woman was admitted to the hospital because of chronic right otitis media.The patient had been well until one year earlier, when a "bad cold" developed, with a sore throat. The sore throat subsided after one week, but nasal congestion and the sensation that her ears were blocked persisted for a month. A physician made a diagnosis of sinusitis and prescribed a nasal spray and an unknown antibiotic. The left ear became clear, but the right ear remained symptomatic. Treatment with trimethoprim-sulfamethoxazole provoked a rash and was discontinued, and a third antibiotic was ineffective. Painless drainage from the right ear developed, with diminished hearing. An audiometric examination revealed loss of conductive hearing in the right ear. The patient had a purulent nasal discharge and postnasal drip during the rest of the year. Three months before admission, a computed tomographic (CT) scan of the temporal bones ( Fig. 1) showed opacification of the right middle ear and mastoid bone, without erosion of the scutum, ossicular chain, or otic capsule. The external canal, the contour of the posterior nasopharynx, and the visible portions of the paranasal sinuses appeared normal. Insertion of a tympanostomy tube did not improve hearing and was followed by a perforation that involved 30 percent of the eardrum.Evaluation of the patient at the Massachusetts Eye and Ear Infirmary a month before admission revealed a perforation in the inferior portion of the right tympanic membrane. Inspissated white material that filled the middle ear appeared to be solid granulation tissue.

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Tuberculous Otitis Media

Cited by 26 publications

References 8 publications

A Case of Tuberculous Otitis Media

A Case of Tuberculous Otitis Media

Tuberculous Otitis in Infants

Case 13-1999

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