Tuberculose de orelha, doença profissional? / Tuberculosis of the ear, a professional disease?
Rev. bras. otorrinolaringol
;
74(4): 621-627, jul.-ago. 2008. ilus
Article
in English, Portuguese
| LILACS
| ID: lil-494435
RESUMO
Na literatura, a otite média tuberculosa está como uma causa rara de infecção crônica supurativa da orelha média e mastóide, e os fatores predisponentes foram pouco referidos. Em nosso país há um aumento da incidência de tuberculose, inclusive de formas raras como a otite média tuberculosa. Esses pacientes classicamente têm múltiplas perfurações da membrana timpânica e otorréia, associada à perda auditiva progressiva. O diagnóstico deve ser aventado nos pacientes com otite que não responde a terapia de rotina, seja por fungo da orelha externa ou bacteriana da orelha média. Os autores apresentam, em estudo retrospectivo, quatro pacientes com otite média tuberculosas, sendo duas médicas, uma engenheira química e um menor com casos de tuberculose ativa na família, sendo, portanto, fatores predisponentes o contato familiar com tuberculoso, contato profissional e exposição a agressores de vias aéreas.
ABSTRACT
Tuberculosis is a rare cause of chronic suppurative otitis media and mastoiditis; the predisposing factors of this association, however, are not commonly described. There has been an alarming increase in the incidence of tuberculosis in Brazil, including tuberculous otitis media. These patients typically present multiple perforations of the tympanic membrane, an ear discharge, and progressive hearing loss. This diagnosis should be taken into account in patients that do not respond to routine therapy for fungal external otitis or bacterial otitis media. In this retrospective study, the authors describe four cases of patients with tuberculous otitis media. This sample consisted of two physicians, a chemical engineer and an underage child in whose family there were cases of active tuberculosis. Predisposing factors for tuberculous otitis were contact with family members that had tuberculosis, professional contact with patients and exposure to pathogenic microorganisms in airways.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Tuberculosis
/
Ear Diseases
/
Mycobacterium tuberculosis
/
Occupational Diseases
Type of study:
Diagnostic study
/
Etiology study
/
Observational study
/
Risk factors
Limits:
Adult
/
Child
/
Female
/
Humans
/
Male
Language:
English
/
Portuguese
Journal:
Rev. bras. otorrinolaringol
Journal subject:
Otolaryngology
Year:
2008
Type:
Article
Affiliation country:
Brazil
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