Abstract

Primary Tubercular Otitis Media: A Case Repor

Highlights

  • Tuberculosis (TB) is very common in developing countries like Nepal

  • Tuberculosis can be one of the causes of aural polyp despite a rare entity. It has a good prognosis on prompt diagnosis and treatment with surgery and the chemotherapy

  • CSOM secondary to tuberculosis were seen in 2–8% of all cases and 50% of cases were in infants

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Summary

Introduction

Tuberculosis (TB) is very common in developing countries like Nepal. It can affect any part of the human body. Tubercular agents gain access to middle ear mainly via eustachian tube secondary to pulmonary TB consequent to the retrograde flow of hemoptysis and direct entry into the middle ear via perforated TM through EAC. It may get infected from other extrapulmonary sites like pleura, lymph nodes, abdomen, genitourinary tract, skin, joints and bones or meninges. Patient was advised for x-ray of mastoids and pure tone audiogram It showed sclerotic mastoid and profound hearing loss on the right side (Figures 1A & 1B). On 2nd moth follow up, he had a dry cavity

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