Tuberculous Otitis Media: A Mysterious Ailment
Abstract: Introduction: Tuberculous otitis media (TOM) is an infrequent ailment. As an uncommon form of extra-pulmonary Tuberculosis, it is often underestimated, leading to a delay in diagnosis and start of appropriate treatment. Case Series: We describe 3 cases of TOM diagnosed and treated in our...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
The Association of Otolaryngologists of India, West Bengal
2024-05-01
|
| Series: | Bengal Journal of Otolaryngology and Head Neck Surgery |
| Subjects: | |
| Online Access: | https://bjohns.in/journal23/index.php/bjohns/article/view/22 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1823858927544041472 |
|---|---|
| author | Saravana Selvan Velmurugan Vivek Mariappan Mohamed Siddique Samsudeen Suresh Kumar Narayanan Rhea Mathai Tany James Maria |
| author_facet | Saravana Selvan Velmurugan Vivek Mariappan Mohamed Siddique Samsudeen Suresh Kumar Narayanan Rhea Mathai Tany James Maria |
| author_sort | Saravana Selvan Velmurugan |
| collection | DOAJ |
| description | Abstract:
Introduction: Tuberculous otitis media (TOM) is an infrequent ailment. As an uncommon form of extra-pulmonary Tuberculosis, it is often underestimated, leading to a delay in diagnosis and start of appropriate treatment.
Case Series: We describe 3 cases of TOM diagnosed and treated in our institute. The typical presentation was prolonged ear discharge not responding to culture sensitive antibiotics, hard of hearing, perforation of tympanic membrane, pale whitish granulation tissue. Pure Tone Audiogram (PTA) done to evaluate the hearing loss. The granulation tissue from all the patients sent for Histopathology examination (HPE) and Cartridge Based Nucleic Acid Amplification Test (CBNAAT) examination. CBNAAT results were positive in all three patients. HPE reported as chronic inflammatory pathology. PTA revealed sensorineural hearing loss in 2 patients and conductive hearing loss in 1 patient. Treatment with regular ATT 4FDC (Anti Tubercular Treatment- Four Drug Combination) regimen was started as per weight band for 6 months. Each of them was on follow up and symptomatically improving.
Discussion: TOM requires recognition in refractory chronic otitis media. Early diagnosis and intervention are essential to prevent complications and optimise outcomes. The delay in initiating therapy may lead to complications such as facial nerve palsy. This case series aims to highlight the clinical presentation, effective diagnostic modalities and treatment of tuberculous otitis media and stresses the importance of awareness among otorhinolaryngologists regarding TOM and its timely management.
|
| format | Article |
| id | doaj-art-a62bcbc031a94ce296d131c338c52e53 |
| institution | Kabale University |
| issn | 2395-2393 2395-2407 |
| language | English |
| publishDate | 2024-05-01 |
| publisher | The Association of Otolaryngologists of India, West Bengal |
| record_format | Article |
| series | Bengal Journal of Otolaryngology and Head Neck Surgery |
| spelling | doaj-art-a62bcbc031a94ce296d131c338c52e532025-02-11T09:43:37ZengThe Association of Otolaryngologists of India, West BengalBengal Journal of Otolaryngology and Head Neck Surgery2395-23932395-24072024-05-0131310.47210/bjohns.2023.v31i3.22Tuberculous Otitis Media: A Mysterious AilmentSaravana Selvan Velmurugan0https://orcid.org/0009-0000-2025-4575Vivek Mariappan1https://orcid.org/0000-0001-7770-4100Mohamed Siddique Samsudeen2https://orcid.org/0009-0006-1753-8087Suresh Kumar Narayanan3https://orcid.org/0009-0006-6774-6247Rhea Mathai4https://orcid.org/0009-0006-8906-3615Tany James Maria5https://orcid.org/0009-0006-1166-6766Associate Professor, Upgraded Institute of Otorhinolaryngology, Madras Medical CollegeAssistant Professor, Upgraded Institute of Otorhinolaryngology, Madras Medical CollegeAssistant Professor, Upgraded Institute of Otorhinolaryngology, Madras Medical CollegeDirector and Professor, Upgraded Institute of Otorhinolaryngology, Madras Medical CollegeJunior Resident, Upgraded Institute of Otorhinolaryngology, Madras Medical CollegeJunior Resident, Upgraded Institute of Otorhinolaryngology, Madras Medical CollegeAbstract: Introduction: Tuberculous otitis media (TOM) is an infrequent ailment. As an uncommon form of extra-pulmonary Tuberculosis, it is often underestimated, leading to a delay in diagnosis and start of appropriate treatment. Case Series: We describe 3 cases of TOM diagnosed and treated in our institute. The typical presentation was prolonged ear discharge not responding to culture sensitive antibiotics, hard of hearing, perforation of tympanic membrane, pale whitish granulation tissue. Pure Tone Audiogram (PTA) done to evaluate the hearing loss. The granulation tissue from all the patients sent for Histopathology examination (HPE) and Cartridge Based Nucleic Acid Amplification Test (CBNAAT) examination. CBNAAT results were positive in all three patients. HPE reported as chronic inflammatory pathology. PTA revealed sensorineural hearing loss in 2 patients and conductive hearing loss in 1 patient. Treatment with regular ATT 4FDC (Anti Tubercular Treatment- Four Drug Combination) regimen was started as per weight band for 6 months. Each of them was on follow up and symptomatically improving. Discussion: TOM requires recognition in refractory chronic otitis media. Early diagnosis and intervention are essential to prevent complications and optimise outcomes. The delay in initiating therapy may lead to complications such as facial nerve palsy. This case series aims to highlight the clinical presentation, effective diagnostic modalities and treatment of tuberculous otitis media and stresses the importance of awareness among otorhinolaryngologists regarding TOM and its timely management. https://bjohns.in/journal23/index.php/bjohns/article/view/22Extra Pulmonary TuberculosisGranulation TissueAntibioticsDrug CombinationChronic Otitis Media |
| spellingShingle | Saravana Selvan Velmurugan Vivek Mariappan Mohamed Siddique Samsudeen Suresh Kumar Narayanan Rhea Mathai Tany James Maria Tuberculous Otitis Media: A Mysterious Ailment Bengal Journal of Otolaryngology and Head Neck Surgery Extra Pulmonary Tuberculosis Granulation Tissue Antibiotics Drug Combination Chronic Otitis Media |
| title | Tuberculous Otitis Media: A Mysterious Ailment |
| title_full | Tuberculous Otitis Media: A Mysterious Ailment |
| title_fullStr | Tuberculous Otitis Media: A Mysterious Ailment |
| title_full_unstemmed | Tuberculous Otitis Media: A Mysterious Ailment |
| title_short | Tuberculous Otitis Media: A Mysterious Ailment |
| title_sort | tuberculous otitis media a mysterious ailment |
| topic | Extra Pulmonary Tuberculosis Granulation Tissue Antibiotics Drug Combination Chronic Otitis Media |
| url | https://bjohns.in/journal23/index.php/bjohns/article/view/22 |
| work_keys_str_mv | AT saravanaselvanvelmurugan tuberculousotitismediaamysteriousailment AT vivekmariappan tuberculousotitismediaamysteriousailment AT mohamedsiddiquesamsudeen tuberculousotitismediaamysteriousailment AT sureshkumarnarayanan tuberculousotitismediaamysteriousailment AT rheamathai tuberculousotitismediaamysteriousailment AT tanyjamesmaria tuberculousotitismediaamysteriousailment |