Abstract
Tuberculous otitis media is a rare extra-pulmonary presentation of tuberculosis. Tuberculous otitis media is usually associated with pulmonary tuberculosis or tuberculosis involving nasopharynx and oropharynx. Lupus vulgaris is the most common morphological variant of cutaneous tuberculosis. The disease often affects the face and may be associated with nasal or nasopharyngeal tuberculosis. Lupus vulgaris associated with tuberculous otitis media is not reported in English literature. We report a case of 40 year old female patient who presented with symptoms of chronic suppurative otitis media and non-healing skin lesion of face. The biopsy of skin lesion showed granulomatous pathology and helped us to reach a diagnosis of tuberculous otitis media.
Abbreviations
- ATT:
-
Antitubercular therapy
- ZN:
-
Zeihl Neihlesen
- PTA:
-
Pure tone audiometry
- AFB:
-
Acid fast bacilli
References
Prasad KC, Sreedharan S, Chakravarthy Y et al (2007) Tuberculosis in the head and neck: experience in India. J Laryngol Otol 121(10):979–985
Lee PYC, Drysdale AJ (1993) Tuberculous otitis media: a difficult diagnosis. J Laryngol Otol 107:339–341
Khandpur S, Reddy BS (2003) Lupus vulgaris: unusual presentations over the face. J Eur Acad Dermatol Venerol 17:706–710
Bhalla RK, Jones TM, Rothburn MM et al (2001) Tuberculous otitis media-a diagnostic dilemma. Auris Nasus Larynx 28:241–243
Kirsch CM, Wehner JH, Jensen WA et al (1995) Tuberculous otitis media. South Med J 88:363–366
Singh B (1991) Role of surgery in tuberculous mastoiditis. J Laryngol Otol 105:907–915
Windle-Taylor PC, Bailey CM (1980) Tuberculous otitis media: a series of 22 patients. Laryngoscope 90:1039–1044
Kumar B, Muralidhar S (1999) Cutaneous tuberculosis: a twenty year prospective study. Int J Tubercu Lung Dis 3:494–500
Ballenger WL, Ballenger HC (1943) Diseases of the nose, throat and ear. Medical and surgical, 8th edn. Lea and Febiger, Philadelphia, p 447
Wallmer LJ (1953) Tuberculous otitis media. Laryngoscope 63:1058–1077
Mjoen S, Grontred A, Holth V et al (1992) Tuberculous otomastoiditis. Otorhinolaryngology 54:57–59
Nishiike S, Irifume M, Doi K et al (2003) Tubercular otitis media: clinical aspects of 12 cases. Ann Otol Rhinol Laryngol 12:935–938
Hoca NT, Ogretensory M, Dayioglu D (2008) Tubercular otitis media—a case report. Turkish Res J 9:48–50
Weiner GM, O’Connell JE, Pahor AL (1977) The role of surgery in tubercular mastoiditis: appropriate chemotherapy is not always enough. J Laryngol Otol 111:752–753
Schuknecht HF (1993) Pathology of the ear, 2nd edn. Lea and Febiger, Philadelphia, pp 206–208
Ramages LJ, Gertler R (1985) Aural tuberculosis: a series of 25 patients. J Laryngol Otol 99:1073–1080
Hoshino T, Miyashita H, Asai Y (1994) Computed tomography of the temporal bone in tuberculous otitis media. J Laryngol Otol 108:702–705
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Kohli, P.S., Kumar, V. & Nibhoria, S. Tuberculous Otitis Media and Lupus Vulgaris of Face: An Unusual Association. Indian J Otolaryngol Head Neck Surg 63 (Suppl 1), 71–74 (2011). https://doi.org/10.1007/s12070-011-0202-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12070-011-0202-1