Tuberculous otomastoiditis
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Tuberculous otomastoiditis is an uncommon form of acute otomastoiditis that occurs secondary to tuberculosis infection, although its frequency is increasing as a result of greater population of immunocompromised patients.
Clinical presentation
Classically it is described as presenting with
- painless chronic otorrhea
- intact tympanic membrane
Increasingly a wide range of presentations are being recognised including:
- pain
- purulent discharge
- ossicular
errosionerosion - aggressive tumour
like-like behavior
Cervical lymph node enlargement is common, especially in the preauricular region, as well as intraparotid and upper cervical regions. (see: scrofula).
Pachymeningeal involvement is also frequently seen with potential dural sinus thrombosis.
-<p><strong>Tuberculous otomastoiditis</strong> is an uncommon form of <a href="/articles/acute_otomastoiditis">acute otomastoiditis</a> that occurs secondary to <a href="/articles/tuberculosis" title="TB">TB</a>, although its frequency is increasing as a result of greater population of immunocompromised patients.-</p><p>Classically it is described as presenting with</p><ul>-<li>painless chronic otorrhea-</li>-<li>intact tympanic membrane-</li>-</ul><p>Increasingly a wide range of presentations are being recognised including:-</p><ul>-<li>pain-</li>-<li>purulent discharge-</li>-<li><a href="/articles/ossicular-errosion">ossicular errosion</a></li>-<li>aggressive tumour like behavior-</li>-</ul><p>Cervical <a href="/articles/lymph-node-enlargement">lymph node enlargement</a> is common, especially in the preauricular region, as well as intraparotid and upper cervical regions. (see <a href="/articles/tuberculous-cervical-lymphadenitis">scrofula</a>)-</p><p>Pachymeningeal involvement is also frequently seen with potential <a href="/articles/dural-sinus-thrombosis">dural sinus thrombosis</a>.-</p>- +<p><strong>Tuberculous otomastoiditis</strong> is an uncommon form of <a href="/articles/acute-otomastoiditis">acute otomastoiditis</a> that occurs secondary to <a title="Tuberculosis" href="/articles/tuberculosis">tuberculosis</a> infection, although its frequency is increasing as a result of greater population of immunocompromised patients.</p><h4>Clinical presentation</h4><p>Classically it is described as presenting with</p><ul>
- +<li>painless chronic otorrhea</li>
- +<li>intact tympanic membrane</li>
- +</ul><p>Increasingly a wide range of presentations are being recognised including:</p><ul>
- +<li>pain</li>
- +<li>purulent discharge</li>
- +<li><a href="/articles/ossicular-errosion">ossicular erosion</a></li>
- +<li>aggressive tumour-like behavior</li>
- +</ul><p>Cervical <a href="/articles/lymph-node-enlargement">lymph node enlargement</a> is common, especially in the preauricular region, as well as intraparotid and upper cervical regions (see: <a href="/articles/tuberculous-cervical-lymphadenitis">scrofula</a>).</p><p>Pachymeningeal involvement is also frequently seen with potential <a href="/articles/dural-sinus-thrombosis">dural sinus thrombosis</a>.</p>
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