ABSTRACT
Both nasopharyngeal tuberculosis and tuberculous otitis media are currently considered as rare diseases and patients have no evidence of active pulmonary or systemic tuberculosis. We experienced a case of 49-year-old female with nasopharyngeal tuberculosis which eventually resulted in tuberculous otitis media. The initial diagnosis was very difficult so the appropriate treatment was delayed. Therefore, it is necessary that appropriate evaluations for nasopharyngeal tuberculosis and tuberculous otitis media include a chest X-ray, smear, culture, biopsy, and M. tuberculosis Polymerase chain reaction (TB-PCR). When nasopharyngeal tuberculosis and tuberculous otitis media are diagnosed, a medical therapy with antituberculous drugs is usually effective, and surgery is rarely needed. So we report our findings in this patient with a review of literautre and discuss the relationship between nasopharyngeal tuberculosis and tuberculous otitis media.