Tuberculosis of the Middle Ear: Case Report
Published: 2022-11-15
Page: 397-401
Issue: 2022 - Volume 5 [Issue 2]
Chebaatha Anas *
ENT Head and Neck Surgery Department, Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.
F. Mourabit
ENT Head and Neck Surgery Department, Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.
H. Radhi
ENT Head and Neck Surgery Department, Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.
Y. Oukessou
ENT Head and Neck Surgery Department, Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.
S. Rouadi
ENT Head and Neck Surgery Department, Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.
R. Abada
ENT Head and Neck Surgery Department, Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.
M. Roubal
ENT Head and Neck Surgery Department, Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.
M. Mahtar
ENT Head and Neck Surgery Department, Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Tuberculosis of the middle ear is rare. Its diagnosis is often late. We report the case of a 12-year-old child with chronic left otitis resistant to conventional medical treatment, evolving since the age of 5 years, complicated by cophosis and left facial paralysis. Computed tomography imaging of the rocks showed extensive lesions associating middle ear involvement, mastoiditis and sphenoid osteolysis. The diagnosis was oriented by the geographical origin, the notion of tuberculous contagion, the chronic otorrhoea resistant to conventional medical treatment, the facial paralysis occurring in a context of chronic otitis, the histological aspect +/- of the granulomatous tissue sampled in per operation and good post-operative evolution under anti-tuberculosis treatment. Tuberculosis of the middle ear should be considered in the face of chronic otitis and risk factors for tuberculosis. The search for dissemination must be systematic and treatment early in order to avoid auditory sequelae.
Keywords: Tuberculosis, chronic otitis, facial paralysis
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References
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DOI: 10.5152/iao.2016.2097