Acta Scientific Otolaryngology (ISSN: 2582-5550)

Case Report Volume 2 Issue 9

Tubercular Mastoiditis Masquerading as Squamosal Chronic Suppurative Otitis Media

Sameema V V1, Darwin Kaushal2*, Kapil Soni2, Bikram Choudhury3 and Amit Goyal3

1Junior Resident, Department of Otorhinolaryngology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
2Associate Professor, Department of Otorhinolaryngology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
3Additional Professor, Department of Otorhinolaryngology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India

*Corresponding Author: Darwin Kaushal, Associate Professor, Department of Otorhinolaryngology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.

Received: July 22, 2020; Published: August 31, 2020

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Abstract

Tubercular mastoiditis is a rare clinical entity and may be indistinguishable from squamosal chronic suppurative otitis media. Diagnosis of this condition is important because the treatment for tubercular mastoiditis is medical whereas treatment of unsafe chronic suppurative otitis media is surgical. We present a case of tuberculous mastoiditis in a 21 years-old-male who presented with history of right ear discharge for last one year. There was pain and swelling in right postauricular region for ten days. This was not responding to even culture sensitivity guided antibiotic therapy. Cortical mastoidectomy with tympanoplasty was done. Biopsy of the granulation tissues was positive for Acid Fast bacilli in Ziehl-Neelsen staining. Patient received course of anti-tubercular therapy and showed complete improvement. Tubercular mastoiditis is an important differential diagnosis in case of chronic otitis media which is not responding to antibiotic therapy. Early diagnosis of this clinical entity can avoid unnecessary surgery.

Keywords: Tubercular Mastoiditis; Chronic Suppurative Otitis Media

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Citation

Citation: Darwin Kaushal., et al. “Tubercular Mastoiditis Masquerading as Squamosal Chronic Suppurative Otitis Media". Acta Scientific Otolaryngology 2.9 (2020): 30-33.




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