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Sodium salicylate · Hearing loss · Sensorineural · Tinnitus

dehisTuberculous Otitis Media with Facial Paralysis Combined with Labyrinthitis

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초록

Tuberculosis otitis media is a very rare cause of otorrhea, so that it is infrequently considered in differential diagnosis because clinical symptoms are nonspecific, and standard microbiological and histological tests for tuberculosis often give false-negative results. We present a rare case presenting as a rapidly progressive facial paralysis with severe dizziness and hearing loss on the ipsilateral side that was managed with facial nerve decompression and anti-tuberculosis therapy. The objective of this article is to create an awareness of ear tuberculosis, and to consider tuberculosis in the differential diagnosis of chronic otitis media with complications.

Abstract

Tuberculosis otitis media is a very rare cause of otorrhea, so that it is infrequently considered in differential diagnosis because clinical symptoms are nonspecific, and standard microbiological and histological tests for tuberculosis often give false-negative results. We present a rare case presenting as a rapidly progressive facial paralysis with severe dizziness and hearing loss on the ipsilateral side that was managed with facial nerve decompression and anti-tuberculosis therapy. The objective of this article is to create an awareness of ear tuberculosis, and to consider tuberculosis in the differential diagnosis of chronic otitis media with complications.

참고문헌 (8)

  1. Vaamonde P, "Tuberculous otitis media : a significant diagnostic challenge", Otolaryngol Head Neck Surg, 130, pp.759~766 (2004)
  2. Sens PM, "Tuberculosis of the ear, a professional disease?", Braz J Otorhinolaryngol, 74, pp.621~627 (2008)
  3. Awan MS, "Tuberculous otitis media : two case reports and literature review", Ear Nose Throat J, 81, pp.792~794 (2002)
  4. Chirch LM, "Tuberculous otitis media: report of 2 cases on Long Island, N.Y., and a review of all cases reported in the United States from 1990 through 2003", Ear Nose Throat J, 84, pp.488~490 (2005)
  5. Bhalla RK, "Tuberculous otitis media--a diagnostic dilemma", Auris Nasus Larynx, 28, pp.241~243 (2001)
  6. Vital V, "Tuberculous otitis media : a difficult diagnosis and report of four cases", Pathol Res Pract, 198, pp.31~35 (2002)
  7. Midholm A, "Primary tuberculosis otitis media", J Laryngol Otol, 85, pp.1195~1200 (1971)
  8. Meher R, "Tubercular otitis media in children", Otolaryngol Head Neck Surg, 135, pp.650~652 (2006)

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