tuberkulöse Otomastoiditis

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 recognized including:

  • pain
  • purulent discharge
  • ossicular erosion
  • aggressive tumor-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.

Siehe auch:
und weiter: