A Case of Bilateral Tuberculosis Otitis Media Following Nasopharyngeal Tuberculosis
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Bilateral tuberculous otitis media (TBOM) and nasopharyngeal tuberculosis (NPTB) are rare forms of TB. To date, no case of NPTB leading to bilateral TBOM has been reported. This paper presents the unique case of a 42-year-old female in whom NPTB lesions progressed to bilateral TBOM within a month of practicing inappropriate nasal irrigation. In addition to the history of improper technique, the comparison of imaging findings before and one month after nasal irrigation led to the conclusion that incorrect nasal irrigation significantly contributed to the rapid spread of NPTB to both middle ears. Based on these findings, it is suggested that even before diagnosing NPTB, it is essential to educate patients on the correct nasal irrigation method. In particular, if NPTB is diagnosed, avoiding nasal irrigation may reduce the risk of NPTB spreading to the middle ear.
Abstract
Bilateral tuberculous otitis media (TBOM) and nasopharyngeal tuberculosis (NPTB) are rare forms of TB. To date, no case of NPTB leading to bilateral TBOM has been reported. This paper presents the unique case of a 42-year-old female in whom NPTB lesions progressed to bilateral TBOM within a month of practicing inappropriate nasal irrigation. In addition to the history of improper technique, the comparison of imaging findings before and one month after nasal irrigation led to the conclusion that incorrect nasal irrigation significantly contributed to the rapid spread of NPTB to both middle ears. Based on these findings, it is suggested that even before diagnosing NPTB, it is essential to educate patients on the correct nasal irrigation method. In particular, if NPTB is diagnosed, avoiding nasal irrigation may reduce the risk of NPTB spreading to the middle ear.
참고문헌 (9)
- Kameswaran M, "Tuberculous otitis media : a resurgence?", J Laryngol Otol, 131(9), pp.785~792 (2017)
- Windle-Taylor PC, "Tuberculous otitis media : a series of 22 patients", Laryngoscope, 90(6), pp.1039~1044 (1980)
- Kim M, "Nasopharyngeal tuberculosis with concomitant middle ear tuberculosis : a case report and literature review", Ear Nose Throat J (2022)
- 김택희, "중이결핵을 유발한 비인두 결핵 1예", 대한이비인후-두경부외과학회지, 52(3), pp.245~248 (2009), 대한이비인후과학회
- Srivanitchapoom C, "Nasopharyngeal tuberculosis : epidemiology, mechanism of infection, clinical manifestations, and management", Int J Otolaryngol, 2016, pp.4817429~ (2016)
- Sebastian SK, "Tuberculous otitis media–series of 10 cases", J Otol, 15(3), pp.95~98 (2020)
- Yang Y, "Nasopharyngeal tuberculosis : a case report", Open Life Sci, 17(1), pp.973~977 (2022)
- Head K, "Saline irrigation for allergic rhinitis", Cochrane Database Syst Rev, 2018(6), pp.CD012597~ (2018)
- Bunne M, "Variability of eustachian tube function : comparison of ears with retraction disease and normal middle ears", Laryngoscope, 110(8), pp.1389~1395 (2000)