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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Aremu, S. K. Alabi, B. S. |
| Description | Author Affiliation: Aremu SK ( Department of Otolaryngology, University of Ilorin Teaching Hospital, Ilorin, Nigeria. shuaib.aremu@gmail.com) |
| Abstract | A 42-year-old farmer being treated for pulmonary tuberculosis was referred to our clinic after developing otorrhoea and hearing loss in his right ear. Examination revealed a large subtotal perforation in the right ear in addition to a purulent discharge with right facial nerve palsy. Audiometry indicated a 35 dB conductive hearing loss at 0.5, 1 and 2 kHz with air-bone gaps of 12, 15 and 10 dB, respectively. A middle ear biopsy was performed under direct visualisation, with a middle ear lavage which was positive for allergic fungal sinusitis (AFS). The final diagnosis was tuberculous otitis media (TOM). Clinical symptoms and signs should be reviewed in every case of chronic otitis media keeping the possibility of tuberculosis in mind. Otorrhoea in a patient with known or suspected active pulmonary tuberculosis should be assumed to be TOM until proven otherwise. |
| e-ISSN | 1757790X |
| Journal | BMJ Case Reports |
| Volume Number | 2010 |
| Language | English |
| Publisher | BMJ Publishing Group Ltd. |
| Publisher Place | Great Britain (UK) |
| Access Restriction | Open |
| Subject Keyword | Facial Paralysis Diagnosis Hearing Loss, Conductive Otitis Media, Suppurative Tuberculosis, Pulmonary Antitubercular Agents Therapeutic Use Biopsy Diagnosis, Differential Drug Therapy, Combination Ear, Middle Pathology Drug Therapy Multidisciplinary |
| Content Type | Text |
| Resource Type | Article |
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