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Published on: July 3, 2025
Tuberculosis of middle ear and mastoid
Siriporn Limviriyakul1, Sacarin Bunbanjerdsuk, Sarun Prakairungthong
1Otoneurology Unit, Department of Otorhinolaryngology, Faculty of Medicine, Siriraj Hospital, Mahidol University Bangkok, Thailand. sendtojae@gmail.com
Summary
Tuberculosis of the middle ear is rare, often presenting with chronic otorrhea. Early diagnosis through identification of tuberculosis is crucial for effective treatment, which primarily involves medication.
Area of Science:
- Otolaryngology
- Infectious Diseases
- Microbiology
Background:
- Tuberculosis (TB) can affect the middle ear, a rare but significant clinical entity.
- Middle ear tuberculosis presents with diverse clinical manifestations, often mimicking common ear infections.
Observation:
- A retrospective review of six middle ear tuberculosis cases was conducted.
- Chronic otorrhea was the most frequent clinical manifestation.
- Diagnostic methods included histopathology, tissue culture, and PCR.
Findings:
- Middle ear tuberculosis requires a high index of suspicion.
- Accurate identification of Mycobacterium tuberculosis is essential for management.
- Treatment primarily involves medication, with surgery reserved for specific cases.
Implications:
- Enhanced awareness of middle ear tuberculosis is needed among clinicians.
- Multidisciplinary diagnostic approaches improve patient outcomes.
- Further research into optimal treatment strategies is warranted.
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