Tuberculous Otitis Media Presenting as Complications: Report of 18 Cases

Primary Tuberculous Otitis Media: A Case Report

“…Otoscopic examination reveals presence of a tympanic perforation through which a watery discharge oozes from middle ear. [7,8,9,10,11,12] Multiple tympanic membrane perforations are considered hallmark of the disease and may later coalesce to form single perforation. [11] The middle ear mucosa may appear pale.…”

“…These granulations may be seen filling the middle ear during otoscopy and the mastoid during surgery. [7,8,13,14,15,16,17] Involvement of the middle ear by tuberculosis has been described in all age groups, though more commonly in children. In the pre-antibiotic era, 2.8% of all the cases of chronic suppurative otitis media were tuberculous in nature and infants below one year of age comprised 50% of these.…”

Impending Meningitis in a Case of Tuberculous Otitis Media

“…In the presence of sinus or jugular vein thrombosis, hypercoagulable state which may be either inherited or acquired, must be investigated to start anticoagulation therapy along with Anti-tubercular treatment [16]. Surgery is indicated for complicated cases such as those involving subperiosteal abscess of mastoid, postauricular fistulas, facial palsy or central nervous system extension of infection [1,8]. When surgery is combined with adequate chemotherapy, there are chances of healing with good prognosis.…”

“…It is an atypical cause of chronic suppurative infection of middle ear and constitutes for 0.05% to 0.9% of chronic otitis media [1]. It presents as painless otorrhea that fails to respond to the usual antibiotic treatment.…”

Tuberculous Mastoiditis: A rare occurrence

“…In 1892, Koch demonstrated the tubercle bacilli [1]. The incidence of tuberculosis otitis media has been reported to be 0.04% to 0.9% of all Chronic Suppurative Otitis Media (CSOM) in the developed countries [2,3].…”