Aggressive Tuberculous Otitis Media in a Young Child

  • Laurice Ann B. Canta Department of Otorhinolaryngology Head and Neck Surgery East Avenue Medical Center
  • Alfred Peter Justine E. Dizon Department of Otorhinolaryngology Head and Neck Surgery East Avenue Medical Center
  • Franco Louie L.B. Abes Department of Otorhinolaryngology Head and Neck Surgery East Avenue Medical Center
Keywords: tuberculous otitis media, tuberculosis, middle ear, otitis media, suppurative otitis media

Abstract

Objective: The aim of this report is to describe an aggressive case of tuberculous otitis media in a young child and emphasize that surgical intervention and histopathologic studies can be employed to immediately arrive at a definitive diagnosis.

Methods:

         Design: Case Report

         Setting:            Tertiary Government Training Hospital

          Participants:      One 

Results: This is a case of a four-year-old boy who had refractory otitis media and erosive CT scan findings, mimicking aggressive CSOM manifestations. Due to unusual intraoperative granulation tissue characteristics, it was initially considered a malignancy, necessitating surgical intervention and biopsy that resulted in a definitive diagnosis of primary middle ear tuberculosis.

Conclusion: This case represents the more severe end of the spectrum of tuberculous otitis media and supports the recommendation that a high index of suspicion, early detection, and prompt initiation of treatment are imperative in its management, especially in children with refractory otitis media.

Keywords: tuberculous otitis media; tuberculosis; middle ear; otitis media; suppurative otitis media

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Published
2019-06-18
How to Cite
1.
Canta LA, Dizon APJ, Abes FL. Aggressive Tuberculous Otitis Media in a Young Child. PJOHNS [Internet]. 18Jun.2019 [cited 17Jul.2019];34(1):44-7. Available from: https://pjohns.pso-hns.org/index.php/pjohns/article/view/965