Abstract
In India 15-20% of all the tuberculosis cases are extrapulmonary. The rarity of tubercular otitis media makes it an entity often missed while making diagnosis. We present a case of seven year old female child presenting with ear discharge, earache and post-aural swelling. HRCT temporal bone showed opacity of the mastoid antrum and soft tissue collection in the retro-auricular area. CBNAAT detected mycobacterium tuberculosis from the pus drained from the mastoid antrum.
Keywords: Tubercular otitis media, CBNAAT, mastoid antrum, post –aural swelling.
References
- Ravi kumar A, Senthil K, Prasanna Kumar S, Gopinath, Gaurav Bambha (2007) primary tubercular mastoiditis-a rare presentation. Sri Ramachandra Journal of Medicine.
- Kim, Chang; Jin, Jae; Rho, Young-Soo, Tuberculous otitis media developing as a complication of tympanostomy tube insertionEuropean Archives of OtoRhino-Laryngology, Volume 264, Number 3, March 2007 , pp. 227-230(4)
- Cherian JJ, Lobo I, Sukhlecha A, et al. Treatment outcome of extrapulmonary tuberculosis under Revised National Tuberculosis Control Programme. Indian J Tuberc. 2017;64:104–108.
- Gupta N, Dass A, Goel N, Tiwari S. Tuberculous Otitis Media Leading to Sequentialib Bilateral Facial Nerve Paralysis. Iran J Otorhinolaryngol. 2015;27(80):231–237.
- Shankar Tati, Manish Kumar, Benjamin R. Kumar, A. V. S. Hanumantha Rao, Yugandhar. “Primary Tuberculosis Otitis Media: Case Presentation and Review of Literature”. Journal of Evolution of Medical and Dental Sciences 2014; Vol. 3, Issue 74, December 29; Page: 15580-15588,
- Agrawal M, Bajaj A, Bhatia V, Dutt S. Comparative Study of GeneXpert with ZN Stain and Culture in Samples of Suspected Pulmonary Tuberculosis. J Clin Diagn Res. 2016;10(5):DC09–DC12. doi:10.7860/JCDR/2016/18837.7755.
- Cho YS, Lee HS, Kim SW, Chung KH, Lee DK, Koh WJ, et al. Tuberculous Otitis Media: Two Case Reports and Literature Review. ENT: Ear, Nose and Throat. 2002; 81:792-794.
- Mercêdes Fabiana Araújo, Thaís Gonçalves Pinheiro, Igor Teixeira Raymundo, Vítor Yamashiro Rocha Soares, Pedro Ivo Machado Araújo, Ricardo Luiz de Melo Martins,Carlos Augusto Costa P Oliveira. Tuberculous Otitis Media. Int. Adv. Otol. 2011; 7:(3) 413-417
- Manju Mahajan, D.S. Agarwal, N.P. Singh and DJ. Gadre, tuberculosis of the middle ear - a case report, Ind. J. Tub., 1995, 42, 55 8.
Corresponding Author
Dr Disha Sharma
Medical Officer Specialist (Otorhinolaryngology) Dr Radhakrishnan Govt. Medical College, Hamirpur, HP
DOI: https://dx.doi.org/10.18535/jmscr/v7i8.19
