An Atypical Case Of Tuberculous Otitis Media: The Importance Of Early Definite Diagnostic Surgery.

Abstract

Background: Tuberculosis can't be named a disease from the past. It is pity, but it remains actual and can be named a pandemic disease for some countries of the world. So, the diagnosis, especially of the untypical and rare cases, is still actual without taking care of the century history of the disease.

Objective: To report of an atypical case tuberculous otitis media flowing. To emphasize including tuberculous otitis media in the differential diagnosis and the importance of early surgery definite diagnostic.

Method: Case report and related reports review.

Results: Clinicians should always consider tuberculous otitis media in chronic otitis media differential diagnosis. It is especially actual in case of the absence of the effect to usual therapy. Should be taken into account the possibility of the tuberculous otitis media flowing when the facial paralysis, sensorineural or mixed hearing loss are fixed. One more predictor is pulmonary tuberculosis or a family history of tuberculosis. When the clinical and subclinical signs are not enough for a definite diagnosis, it is necessary to do exploratory surgery to obtain a definite diagnostic specimen. It helps early diagnosing and avoiding complications.

Conclusion: Tuberculous otitis media is a rare disease, clinical manifestations are atypical, easily confused with other diseases. So, it is necessary to taking into account the tuberculous otitis media when differential diagnosis and surgery for early diagnosis.