SESSION TITLE: Infectious Disease Global Case Reports
SESSION TYPE: Global Case Report
PRESENTED ON: Tuesday, October 29, 2013 at 01:30 PM - 02:30 PM
INTRODUCTION: Tuberculosis is one of the major infectious diseases with predominant involvement of lung and lymph nodes but tuberculosis of the middle ear is uncommon. In India, in the last 15 years, there are less than 10 reported cases of tubercular otitis media. We describe here a case of left sided tubercular otitis media coexisting with pulmonary tuberculosis in view of its rare occurrence.
CASE PRESENTATION: A 17 yrs female was admitted with chief complaints of fever, cough, loss of appetite for two months, diminished hearing and discharge from left ear for last one month. Examination of left ear revealed external auditory canal filled with thick pus. Chest Xray revealed bilateral lung infiltration. Sputum for AFB came out to be positive . Ear discharge was negative for pyogenic organisms on Gram's staining, but was positive for AFB on ZN staining. Antituberculosis therapy was started. After almost one month of ATT, patient is clinically improving and gaining weight with decrease in ear discharge and improved hearing once again confirming our diagnosis.
DISCUSSION: Tubercular otitis media is a rare condition and the exact incidence is unknown. The positivity for AFB in ear discharge varies from 5 to 35% and on repeated examinations it improves to 50%.(1)
CONCLUSIONS: In view of the extremely low incidence (<1%) of ear diseases, tubercular otitis media often precludes the diagnosis, especially in the absence of concomitant tuberculous focus elsewhere.
Reference #1: Jeanes A.L., Friedman I. Tuberculosis of the middle ear. Tubercle; 1960,41,109.
DISCLOSURE: The following authors have nothing to disclose: A.p. Kansal, Saurabh Kansal, Amitesh Gupta, Komaldeep Kaur, Gopal Chawla, Kamaldeep Kaur
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