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Inicio Acta Otorrinolaringológica Española Case series of tuberculous otitis media: Spectrum of clinical presentation and o...
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Vol. 73. Issue 2.
Pages 123-129 (March - April 2022)
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Vol. 73. Issue 2.
Pages 123-129 (March - April 2022)
Brief communication
Case series of tuberculous otitis media: Spectrum of clinical presentation and outcome
Serie de casos de otitis media tuberculosa: espectro de presentación clínica y resultado
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Boon Chin Tea, Bee See Gohb,
Corresponding author
irenegbs@yahoo.com

Corresponding author.
a Department of Otorhinolaryngology, Head & Neck Surgery, Level 9, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latiff, 56000 Cheras, Kuala Lumpur, Malaysia
b Department of Otorhinolaryngology and Head and Neck Surgery, Level 9, Universiti Kebangsaan Malaysia Medical Center, Jalan Yaacob Latiff, 56000 Cheras, Kuala Lumpur, Malaysia
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Tables (2)
Table 1. Clinical manifestations, hearing level and imaging findings of patients.
Table 2. TB investigations, treatments and treatment outcomes of patients.
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Abstract
Objective

Tuberculous otitis media (TB OM) is a rare disease. We present here our experience of TB OM on its clinical presentation, investigation and treatment outcome.

Methods

A retrospective observational study was performed and clinical data of patients in whom TB OM was diagnosed at our center between 2008 and 2019 was analyzed.

Results

Five cases of TB OM were identified. Otorrhoea was the most consistent presenting chief complaint while one of the cases presented with right post-auricular swelling. All the cases were successfully treated with anti-tuberculous medication with outcome of dry middle ear but only one case achieved full recovery of hearing loss.

Conclusion

Due to the disparity of presentations in all our patients, we would like to emphasize the high index of suspicion of TB OM in acute or chronic cases of otitis media with unusual presentation or poor response to standard treatment.

Keywords:
Tuberculous
Otitis media
Middle ear
Resumen
Objetivo

La otitis media tuberculosa (TB OM, por sus siglas en inglés) es una enfermedad infrecuente. Presentamos nuestra experiencia sobre la misma en cuanto a presentación clínica, investigación y resultado del tratamiento.

Métodos

Se realizó un estudio retrospectivo observacional, analizándose los datos clínicos de los pacientes a quienes se diagnosticó de TB OM en nuestro centro entre 2008 y 2019.

Resultados

Se identificaron 5 casos de TB OM, siendo otorrea la forma de presentación más consistente, mientras que uno de los casos presentó edema postauricular derecho. Todos los casos fueron exitosamente tratados con fármacos anti-tuberculosos con resultado de oído medio seco, aunque un caso logró la recuperación total de la hipoacusia.

Conclusión

Debido a la disparidad de las presentaciones en todos nuestros pacientes, nos gustaría resaltar el elevado índice de sospecha de TB OM en casos agudos o crónicos de otitis media con presentación inusual o mala respuesta al tratamiento estándar.

Palabras clave:
Tuberculosa
Otitis media
Oído medio

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