TY - JOUR AU - Canta, Laurice Ann B. AU - Dizon, Alfred Peter Justine E. AU - Abes, Franco Louie L.B. PY - 2019/06/18 Y2 - 2024/03/28 TI - Aggressive Tuberculous Otitis Media in a Young Child JF - Philippine Journal of Otolaryngology Head and Neck Surgery JA - Philipp J Otolaryngol Head Neck Surg VL - 34 IS - 1 SE - Case Reports DO - 10.32412/pjohns.v34i1.965 UR - https://pjohns.pso-hns.org/index.php/pjohns/article/view/965 SP - 44-47 AB - <p><strong>Objective</strong>: 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.</p><p><strong>Methods</strong>:</p><p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp;<strong>Design:</strong> Case Report</p><p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp;<strong>Setting:</strong> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Tertiary Government Training Hospital</p><p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; <strong>Participants:</strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; One&nbsp;</p><p><strong>Results</strong>: 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.</p><p><strong>Conclusion:</strong> 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.</p><p><strong>Keywords:&nbsp;</strong><em>tuberculous otitis media; tuberculosis; middle ear; otitis media; suppurative otitis media</em></p> ER -