Skip to main content
×
Home

Tuberculous otitis media: a resurgence?

  • M Kameswaran (a1), K Natarajan (a1), M Parthiban (a1), P V Krishnan (a1) and S Raghunandhan (a1)...
Abstract
Abstract Objective:

Tuberculosis is a global health problem that is especially prevalent in developing countries such as India. Recently, atypical presentation has become more common and a high index of suspicion is essential. This study analysed the various presenting symptoms and signs of tuberculous otitis media and the role of diagnostic tests, with the aim of formulating criteria for the diagnosis.

Methods:

A total of 502 patients underwent tympanomastoidectomy over a two-year period. Microbiological and histopathological examinations and polymerase chain reaction analysis of tissue taken during tympanomastoidectomy were performed.

Results:

A total of 25 patients (5 per cent) were diagnosed with tuberculous otitis media. Severe mixed hearing loss, facial palsy, labyrinthine fistula, post-aural fistula, perichondritis and extradural abscess were noted.

Conclusion:

There seems to be a resurgence in tuberculous otitis media in India. Microbiological, histopathological and polymerase chain reaction tests for tuberculosis are helpful for its diagnosis.

Copyright
Corresponding author
Address for correspondence: Prof. M Kameswaran, Madras ENT Research Foundation, 1 1st Cross Street, Off 2nd Main Road, Raja Annamalaipuram, Chennai 600028, Tamil Nadu, India Fax: +91 44 24311416 E-mail: merfmk30@yahoo.com
Footnotes
Hide All

Dr M Kameswaran is The Journal of Laryngology & Otology 2015 Visiting Professor.

Footnotes
References
Hide All
1 Mills RP. Management of chronic suppurative otitis media. In: Adams DA, Cinnamond MJ, eds. Scott Brown's Otolaryngology, 6th edn, Volume 3. Oxford: Butterworth Heinemann, 1997:111
2 Slattery WH. Pathology and clinical course of inflammatory disease of the middle ear. In: Glasscock ME, Shambaugh GE, eds. Surgery of the ear, 4th edn. Philadelphia: WB Saunders, 1990:167–93
3 Birrel JF. Aural tuberculosis in children. Proc R Soc Med 1973;66:331–8
4 Burns DK, Meyerhoff WL. Granulomatous disorders and related conditions of the ear and temporal bone. In: Paparella MM, Shumrick KA, eds. Otologic surgery 3rd edn, Volume 2. Philadelphia: WB Saunders, 1991:1530–4
5 Nadol JB, Merchant SN, Cummings CW, Harker LA, Krause CJ. Systemic disease manifestations in the middle ear and temporal bone. Otolaryngol Head Neck Surg 1998;3:3088–107
6 Grewal DS, Baser B, Shahani RN, Khanna S. Tuberculous otitis media presenting as complications: report of 18 cases. Auris Nasus Larynx 1991;18:199208
7 Palva T, Palva A, Karja J. Tuberculous otitis media. J Laryngol Otol 1973;87:253–61
8 Wallmer LJ. Tuberculous otitis media. Laryngoscope 1953;63:1058–77
9 Ormerod FC. Tuberculous disease of middle ear. J Laryngol Otol 1931;46:449–59
10 Plester D, Pusalkar A, Steinbach E. Middle ear tuberculosis. J Laryngol Otol 1980;94:1415–21
11 Grewal DS, Hathiram BT. Tuberculous otitis media. In: Kameswaran S, Kameswaran M, eds. ENT disorders in a tropical environment, 2nd edn. Chennai: Sethu Screens, 1999:6577
12 Arya M, Dixit R, Paramez AR, Sharma S, Rathore DS. Tuberculosis of the middle ear with postauricular abscess. Indian J Tuberc 2009;56:160–3
13 Mullis K, Saiki RK. Enzymatic amplification of beta globulin genome sequences and restriction site analyses for diagnosis of sickle cell anemia. Science 1985;230:1350–4
14 Mahajan M, Agarwal NP, Singh DS, Gadre DJ. Tuberculosis of the middle ear – a case report. Indian J Tuberc 1995;42:55–6
15 Cousins DV, Wilton SD, Francis BR, Gow BL. Use of polymerase chain reaction for rapid diagnosis of tuberculosis. J Clin Microbiol 1992;30:255–8
16 Do PY, Kim JY, Choi KU, Lee JS, Lee CH, Sol MY et al. Comparison of polymerase chain reaction with histopathological features for diagnosis of tuberculosis. Arch Pathol Lab Med 2003;127:326–30
17 Vital V, Printza A, Zaraboukas T. Tuberculous otitis media: a difficult diagnosis and report of four cases. Pathol Res Pract 2002;198:31–5
18 Simpson T, Fox J, Crouse K, Field K. Quantitative and qualitative QuantiFERON-TB Gold In-Tube results among groups with varying risks of exposure to tuberculosis. Heart Lung 2012;41:553–61
19 Duggal P, Sarkar M. Audiologic monitoring of multi drug resistant tuberculosis patients on aminoglycoside treatment with long term follow-up. BMC Ear Nose Throat Disord 2007;7:5
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords:

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 3
Total number of PDF views: 42 *
Loading metrics...

Abstract views

Total abstract views: 180 *
Loading metrics...

* Views captured on Cambridge Core between 20th July 2017 - 18th November 2017. This data will be updated every 24 hours.