Tuberculous Otitis Media: Clinical Aspects of 12 Cases

Abstract

The clinical features of tuberculous otitis media (TOM) have changed. This study was performed to evaluate changing trends in the clinical manifestations of TOM. We reviewed a series of 12 cases of TOM (13 ears) recently treated at Osaka Prefectural Habikino Hospital. The results showed a mean age of 41 years and a male predominance of 1.4 to 1. Central or total perforations of the tympanic membrane were observed in most cases, but none of the patients had multiple perforations. Nine patients (75%) had active pulmonary tuberculosis. Normal lung status or inactive pulmonary tuberculosis was significantly more frequent in the older age group. Diagnosis of primary TOM required more time than that of secondary TOM. Most cases of primary TOM had high infectiousness of the primary lesion. We summarize the clinical features of patients who should be evaluated for TOM.

Bilateral tuberculous otomastoiditis in an immmunocompetent 5-year-old child: CT and MRI findings (2009: 3b)

“…CT findings of TOM in this study were soft tissue in the entire middle ear cavity, preservation of mastoid air cells without sclerotic change, and soft tissue extension or mucosal thickening of the external auditory canal (EAC) with intact scutum. These CT findings were consistent or not consistent with other reports [2,3].…”

Tuberculous Otitis Media—A Rare Entity or a Missed Diagnosis

“…A total of 181 cases were operated for chronic suppurative otitis media of which 15 cases were diagnosed as tuberculous otitis media. Hence TBOM accounted for 8.2% of the operated cases of chronic suuppurative otitis media Males are usually more affected than females with a ratio of 1.4:1 as studied by Nishiike S et al but in our study the ratio was 0.8:1 [8]. As supported by Cho et al the highest incidence of the disease in patients is around their thirtees.…”

Tuberculous Otitis with Proteus mirabilis Co-Infection: An Unsuspected Presentation Encountered in Clinical Practice

“…Multiple TM perforations are also observed, though they are rare. Nishike et al, reported that none of their patients had multiple perforations, facial nerve palsy or bone erosions [9].…”