Otomastoiditis: a rare form of extrapulmonary tuberculosis

Authors

  • Victória Spinola Duarte de Oliveira Instituto de Infectologia Emílio Ribas, Infectologia - São Paulo - SP - Brasil.
  • Raquel Cordeiro Mendes Instituto de Infectologia Emílio Ribas, Infectologia - São Paulo - SP - Brasil.
  • Abimael Coutinho da Silva Instituto de Infectologia Emílio Ribas, Infectologia - São Paulo - SP - Brasil.
  • Lucas de Souza Loureiro Abbud Santos Instituto de Infectologia Emílio Ribas, Infectologia - São Paulo - SP - Brasil.
  • Yago Caetano de Sousa Almeida Instituto de Infectologia Emílio Ribas, Infectologia - São Paulo - SP - Brasil.
  • Camila Rodrigues Instituto de Infectologia Emílio Ribas, Infectologia - São Paulo - SP - Brasil.

DOI:

https://doi.org/10.5935/2764-734X.e20240946

Keywords:

Tuberculosis Extrapulmonary;, Otitis Media with Effusion, Tuberculosis, Pulmonary, Mastoiditis, Case Reports

Abstract

Although predominantly associated with pulmonary manifestations, tuberculous otitis media is a rare clinical manifestation of extrapulmonary dissemination. This case report presents a 41-year-old patient with HIV/AIDS who developed otalgia, otorrhea, cough, and dyspnea 10 days after being physically assaulted. He was admitted with pulmonary sepsis, and the presence of Mycobacterium tuberculosis in his sputum was identified by rapid molecular testing on the second day of hospitalization. A computed tomography (CT) scan of the skull revealed mastoiditis on the right (no bone lesion), and ear secretion also confirmed the tuberculous etiology. The patient satisfactorily responded to the specific treatment.

Downloads

Download data is not yet available.

References

1. World Health Organization (WHO). Global tuberculosis report 2023 [Internet]. Geneva: WHO; 2023; [acesso em 2024 Mai 25]. Disponível em: https://iris.who.int/bitstream/handle/10665/373828/9789240083851-eng.pdf?sequence=1

2. Pai KK, Omiunu AO, Peddu DK, Au VH, Baredes S, Jyung RW, et al. Tuberculosis of the middle ear: a systematic review. Am J Otolaryngol. 2022;43(5):103571. DOI: 10.1016/j.amjoto.2022.103571

3. Cao T, Liu X, Yang C, Mei C, Ou J, Du R. Multidrug-resistant tuberculosis in middle ear: a case report. J Clin Tuberc Other Mycobact Dis. 2023;31:100355. DOI: 10.1016/j.jctube.2023.100355

4. Deenadayal DS, Kumar BN, Bommakanti V, Sameeri KL. Tuberculous otitis media - a rare entity or a missed diagnosis. Int J Otolaryngol Head Neck Surg. 2016;5(02):65. DOI: 10.4236/ijohns.2016.52011

5. Sens PM, Almeida CI, Valle LO, Costa LH, Angeli ML. Tuberculosis of the ear, a professional disease? Braz J Otorhinolaryngol. 2008;74(4):621-7. DOI: 10.1016/s1808-8694(15)30614-5

6. Saunders NC, Albert DM. Tuberculous mastoiditis: When is surgery indicated? Int J Pediatr Otorhinolaryngol. 2002;65(1):59-63. DOI: 10.1016/s0165-5876(02)00121-0

7. Singh A, Irugu DV, Verma H, Thakar A. Atypical presentation of aural tuberculosis with complication. BMJ Case Rep. 2018;2018:bcr-2017-222482. DOI: 10.1136/bcr-2017-222482

8. Dale OT, Clarke AR, Drysdale AJ. Challenges encountered in the diagnosis of tuberculous otitis media: case report and literature review. J Laryngol Otol. 2011;125(7):738-40. DOI: 10.1017/S0022215111000971

9. Sebastian SK, Singhal A, Sharma A, Doloi P. Tuberculous otitis media - series of 10 cases. J Otology. 2020;15(3):95-8. DOI: 10.1016/j.joto.2019.12.001

10. Salata TM, Ribeiro BN, Muniz BC, Antunes LO, Rosas HB, Marchiori E. Distúrbios da audição - achados na tomografia computadorizada e ressonância magnética: ensaio iconográfico. Radiol Bras. 2018;52:54-9. DOI: 10.1590/0100-3984.2016.0213

11. Rubio JMD, Alarcon AV, Palma DM, Vales O, Hinojosa R, Morales DJ, et al. Neuro-otologic manifestations of tuberculosis: "the great imitator." Am J Otolaryngol. 2015;36(3):467-71. DOI: 10.1016/j.amjoto.2015.01.018

Downloads

Published

2024-11-01

How to Cite

1.
Oliveira VSD de, Mendes RC, Silva AC da, Santos L de SLA, Almeida YC de S, Rodrigues C. Otomastoiditis: a rare form of extrapulmonary tuberculosis. IeE [Internet]. 2024 Nov. 1 [cited 2026 Mar. 16];3:e20240946. Available from: https://infectionsinevidence.org/index.php/journal/article/view/38

Issue

Vol. 3 (2024)

Section

Case Reports

License

Copyright (c) 2025 Infections in Evidence

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

All users may freely read, download, share, and adapt this scientific product for any purpose (even commercial ones), provided that due credit is given to the authors and the original publication, and that any alterations are duly indicated.

 

 

> Ethics

All articles published herein have received ethical approval from the National Research Ethics System (formerly CEP/CONEP system) based on Federal Law 14.874/24 and other specific Brazilian regulations, or a similar document attesting to the knowledge and authorization from the institution of origin in the case of foreign works.

The authors declare that there is no sponsorship or conflict of interest of any kind, unless otherwise indicated in the body of the article.

It is worth noting that case reports are a valuable learning resource for the scientific community, but should not be used in isolation to guide diagnostic or therapeutic options in clinical practice or health policies