Abstract
Tuberculosis rarely affects the middle ear cleft; the disease is a curiosity and not often considered in the differential diagnosis of otorrhea. The diagnosis is thus made too late, with resulting complications such as irreversible hearing loss and facial nerve paralysis. A case report with review of the literature is presented, emphasizing that tuberculosis should be considered in the differential diagnosis of chronic ear infection in children. In our case direct nosocomial spread of tuebrculous bacilli has been attributed. Key words: Tuberculosis; otitis media, hearing loss & facial paralysis. doi:10.3126/jnps.v27i2.1589 J. Nepal Paediatr. Soc. Vol.27(2) p.93-94
Highlights
When the patient first reported to MCOMS he had complained of active purulent foul smelling blood stained ear discharge without any pain or fever but with hearing loss for last 2 months
Middle ear tuberculosis is known to occur in all ages, 50% of which is in children
Tuberculous otitis media (TOM) is uncommon in developed countries. This condition is associated with significant sequelae including development of profound and permanent hearing loss2. 9.5% of children with tuberculous otitis media were
Summary
Swain PK1, Mallik SA2, Thapalial A3 1Dr. PK Swain M.D. Paediatrics, Associate Professor, 2Dr. SA Mallik, M.S. ENT.
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