Tuberculous otitis media with osteomyelitis of the regional craniofacial bones
Tuberculosis is an uncommon cause of chronic suppurative otitis media. Delay in diagnosis can lead to delayed treatment, resulting in significant complications. We describe a case of tuberculous otitis media with osteomyelitis of the craniofacial bones in a 44-year-old woman with chronic painless su...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2020-01-01
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| Series: | International Journal of Mycobacteriology |
| Subjects: | |
| Online Access: | http://www.ijmyco.org/article.asp?issn=2212-5531;year=2020;volume=9;issue=3;spage=319;epage=321;aulast=Truong |
| _version_ | 1828495221967552512 |
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| author | Tran Minh Truong Tran Hanh Uyen |
| author_facet | Tran Minh Truong Tran Hanh Uyen |
| author_sort | Tran Minh Truong |
| collection | DOAJ |
| description | Tuberculosis is an uncommon cause of chronic suppurative otitis media. Delay in diagnosis can lead to delayed treatment, resulting in significant complications. We describe a case of tuberculous otitis media with osteomyelitis of the craniofacial bones in a 44-year-old woman with chronic painless suppurative otorrhea, not responding to antibiotics, hearing loss, and facial palsy. Chest X-ray was normal. Computed tomography of the temporal bone showed the destruction of the left zygomatic bone, clivus, and petrous part of the temporal bone. Polymerase chain reaction was positive for Mycobacterium tuberculosis (MTB), and histopathological findings showed caseous necrotizing tissues. Sputum culture was negative for MTB. The patient was successfully treated with surgery and anti-tuberculosis drugs. The polymerase chain reaction is a sensitive, rapid diagnostic tool used to diagnose TB. Surgical approaches and operative biopsy should be considered when the cause of the chronic purulent discharge is still unknown. |
| first_indexed | 2024-12-11T12:09:17Z |
| format | Article |
| id | doaj.art-a48d85563f464d738f15bce0468d75c4 |
| institution | Directory Open Access Journal |
| issn | 2212-5531 2212-554X |
| language | English |
| last_indexed | 2024-12-11T12:09:17Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | International Journal of Mycobacteriology |
| spelling | doaj.art-a48d85563f464d738f15bce0468d75c42022-12-22T01:07:51ZengWolters Kluwer Medknow PublicationsInternational Journal of Mycobacteriology2212-55312212-554X2020-01-019331932110.4103/ijmy.ijmy_112_20Tuberculous otitis media with osteomyelitis of the regional craniofacial bonesTran Minh TruongTran Hanh UyenTuberculosis is an uncommon cause of chronic suppurative otitis media. Delay in diagnosis can lead to delayed treatment, resulting in significant complications. We describe a case of tuberculous otitis media with osteomyelitis of the craniofacial bones in a 44-year-old woman with chronic painless suppurative otorrhea, not responding to antibiotics, hearing loss, and facial palsy. Chest X-ray was normal. Computed tomography of the temporal bone showed the destruction of the left zygomatic bone, clivus, and petrous part of the temporal bone. Polymerase chain reaction was positive for Mycobacterium tuberculosis (MTB), and histopathological findings showed caseous necrotizing tissues. Sputum culture was negative for MTB. The patient was successfully treated with surgery and anti-tuberculosis drugs. The polymerase chain reaction is a sensitive, rapid diagnostic tool used to diagnose TB. Surgical approaches and operative biopsy should be considered when the cause of the chronic purulent discharge is still unknown.http://www.ijmyco.org/article.asp?issn=2212-5531;year=2020;volume=9;issue=3;spage=319;epage=321;aulast=Truongchronic otorrheacraniofacial osteomyelitistuberculous otitis media |
| spellingShingle | Tran Minh Truong Tran Hanh Uyen Tuberculous otitis media with osteomyelitis of the regional craniofacial bones International Journal of Mycobacteriology chronic otorrhea craniofacial osteomyelitis tuberculous otitis media |
| title | Tuberculous otitis media with osteomyelitis of the regional craniofacial bones |
| title_full | Tuberculous otitis media with osteomyelitis of the regional craniofacial bones |
| title_fullStr | Tuberculous otitis media with osteomyelitis of the regional craniofacial bones |
| title_full_unstemmed | Tuberculous otitis media with osteomyelitis of the regional craniofacial bones |
| title_short | Tuberculous otitis media with osteomyelitis of the regional craniofacial bones |
| title_sort | tuberculous otitis media with osteomyelitis of the regional craniofacial bones |
| topic | chronic otorrhea craniofacial osteomyelitis tuberculous otitis media |
| url | http://www.ijmyco.org/article.asp?issn=2212-5531;year=2020;volume=9;issue=3;spage=319;epage=321;aulast=Truong |
| work_keys_str_mv | AT tranminhtruong tuberculousotitismediawithosteomyelitisoftheregionalcraniofacialbones AT tranhanhuyen tuberculousotitismediawithosteomyelitisoftheregionalcraniofacialbones |