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Relationship between tuberculous otomastoiditis and tuberculous meningitis
G Sonmez1, V Turhan, M G Senol
1Department of Radiology, Gulhane Military Medical Academy, Haydarpasa Teaching Hospital, Istanbul, Turkey. gunersonmez@hotmail.com
The Journal of Laryngology and Otology
|August 21, 2007
Summary
Tuberculous meningitis often co-occurs with tuberculous otomastoiditis, impacting over a third of patients. Tuberculosis should be considered for unresponsive otitis or otomastoiditis cases.
Area of Science:
- Infectious Diseases
- Neurology
- Otolaryngology
Background:
- Tuberculous meningitis (TBM) is a severe central nervous system infection.
- Otomastoiditis, an infection of the middle ear and mastoid, can have various causes.
Purpose of the Study:
- To investigate the correlation between tuberculous meningitis and tuberculous otomastoiditis.
- To assess the prevalence of otomastoiditis in patients diagnosed with TBM.
Main Methods:
- Magnetic resonance imaging (MRI) was used to identify meningeal involvement sites in 32 TBM patients.
- Clinical, laboratory, and treatment response data were evaluated.
- Concomitant tuberculous otomastoiditis was specifically investigated.
Main Results:
- Tuberculous otomastoiditis was identified in 34.3% of TBM patients.
- Otomastoiditis was ipsilateral to meningeal involvement in most cases (9/11).
- Widespread meningeal involvement correlated with bilateral otomastoiditis in two patients.
Conclusions:
- Tuberculous meningitis is frequently associated with otomastoiditis.
- Otomastoiditis often goes unrecognized in TBM patients due to the severity of meningitis.
- Consider tuberculosis in the differential diagnosis of refractory otitis or otomastoiditis.
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