ABSTRACT
Tuberculous otitis media is now an infrequent disease, with an incidence of less than 1%. In most cases the origin is a pulmonary focus and primary cases are rarer. We report a case of primary tuberculous otitis media in an immunocompetent patient. A bibliographic review was made of clinical and etiopathogenic aspects, as well as diagnosis and treatment. We highlight the diagnostic difficulty and the fact that this entity should be included in the differential diagnosis of persistent suppurative otitis media.
Subject(s)
Otitis Media, Suppurative/complications , Otitis Media, Suppurative/diagnosis , Tuberculosis/complications , Tuberculosis/diagnosis , Adult , Diagnosis, Differential , Ear, Middle/diagnostic imaging , Humans , Male , Mastoid/diagnostic imaging , Tomography, X-Ray ComputedABSTRACT
La otitis media tuberculosa es una enfermedad poco frecuente hoy en día, con una incidencia menor del 1 por ciento. En la mayoría de las ocasiones el origen es un foco pulmonar, siendo más rara la etiología primaria. Presentamos un caso de otitis media primaria tuberculosa en un paciente inmunocompetente, realizando una revisión bibliográfica tanto de los aspectos clínicos y etiopatogénicos, como los referidos al diagnóstico y tratamiento. Destacamos la dificultad diagnóstica y el hecho de que esta entidad debe ser considerada en el diagnóstico diferencial de las otitis medias supuradas persistentes (AU)
Tuberculous otitis media is now an infrequent disease, with an incidence of less than 1%. In most cases the origin is a pulmonary focus and primary cases are rarer. We report a case of primary tuberculous otitis media in an immunocompetent patient. A bibliographic review was made of clinical and etiopathogenic aspects, as well as diagnosis and treatment. We highlight the diagnostic difficulty and the fact that this entity should be included in the differential diagnosis of persistent suppurative otitis media (AU)
