A rare case of chronic otitis externa due to Mycobacterium tuberculosis

Daniel C. DeSimone, Philip R. Heaton, Brian A. Neff, Linda N. Dao, Nancy L. Wengenack, Hind Fadel

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Chronic otitis externa due to Mycobacterium tuberculosis complex is extremely rare and very few cases have been presented in the medical literature. We report here the case of an immunocompetent 68-year-old male with chronic auricular drainage, otalgia, hearing loss, external ear canal and tympanic membrane thickening for 3 years who was ultimately diagnosed with tuberculous chronic otitis externa on biopsy of external auditory canal granulation tissue using molecular diagnostic techniques. Later, sputum cultures were positive for Mycobacterium tuberculosis complex indicating disseminated tuberculosis. However, two plausible explanations could be pulmonary TB that disseminated to the ear canal with evidence of middle and outer otitis, or upper airway/nasopharyngeal involvement with direct extension into the middle and outer ear canals. Although extremely rare, extrapulmonary laryngeal head and neck tuberculosis should be considered in immunocompetent patients who present with chronic otitis without prior known exposure to tuberculosis when they fail standard therapy and in whom no other microbiologic cause can be identified.

Original languageEnglish (US)
Pages (from-to)13-15
Number of pages3
JournalJournal of Clinical Tuberculosis and Other Mycobacterial Diseases
Volume8
DOIs
StatePublished - Aug 1 2017

Fingerprint

Otitis Externa
Ear Canal
Mycobacterium tuberculosis
Otitis
Tuberculosis
Molecular Diagnostic Techniques
Earache
External Ear
Tympanic Membrane
Granulation Tissue
Middle Ear
Sputum
Hearing Loss
Drainage
Neck
Head
Biopsy
Lung

Keywords

  • Chronic otitis externa
  • Tuberculosis

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Microbiology (medical)
  • Infectious Diseases

Cite this

A rare case of chronic otitis externa due to Mycobacterium tuberculosis. / DeSimone, Daniel C.; Heaton, Philip R.; Neff, Brian A.; Dao, Linda N.; Wengenack, Nancy L.; Fadel, Hind.

In: Journal of Clinical Tuberculosis and Other Mycobacterial Diseases, Vol. 8, 01.08.2017, p. 13-15.

Research output: Contribution to journalArticle

DeSimone, Daniel C. ; Heaton, Philip R. ; Neff, Brian A. ; Dao, Linda N. ; Wengenack, Nancy L. ; Fadel, Hind. / A rare case of chronic otitis externa due to Mycobacterium tuberculosis. In: Journal of Clinical Tuberculosis and Other Mycobacterial Diseases. 2017 ; Vol. 8. pp. 13-15.
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