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Chapter 18 : Tuberculous Otomastoiditis

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Abstract:

Tuberculous otitis media and tuberculous mastoiditis occur together as a single disease process and are referred to herein as tuberculous otomastoiditis. One year after the isolation of the tubercle bacillus by Koch in 1882, the organism was cultured from a middle-ear lesion. Otologic tuberculosis was relegated to the status of “other” in the list of localizations of tuberculosis by the American Thoracic Society in their 1981 ( ) and receives no mention in more recent guidelines ( ). Presumably, it was given this status because tuberculosis of the ear is extremely uncommon in the United States (11 cases reported from 1990 through 2003) ( ). However, there are still occasional patients who have chronically draining ears due to infection ( ). Additionally, tuberculosis remains a problem in the United States, as overall incidence has plateaued and reported cases have recently increased ( ). These increasing numbers of tuberculosis cases in both U.S.- and foreign-born populations coupled with growing rates of immunosuppressed patients, such as transplant recipients, those receiving tumor necrosis factor alpha inhibitors, and those with human immunodeficiency virus infection, will likely spawn other cases of tuberculous otomastoiditis; therefore, a brief summary of the problem is justified.

Citation: Hand J, Pankey G. 2017. Tuberculous Otomastoiditis, p 309-312. In Schlossberg D (ed), Tuberculosis and Nontuberculous Mycobacterial Infections, Seventh Edition. ASM Press, Washington, DC. doi: 10.1128/microbiolspec.TNMI7-0020-2016
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References

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Tables

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Table 1

Frequencies of signs and symptoms in patients with tuberculous otomastoiditis

Citation: Hand J, Pankey G. 2017. Tuberculous Otomastoiditis, p 309-312. In Schlossberg D (ed), Tuberculosis and Nontuberculous Mycobacterial Infections, Seventh Edition. ASM Press, Washington, DC. doi: 10.1128/microbiolspec.TNMI7-0020-2016

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