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Published on: January 19, 2014
Atypical presentation of aural tuberculosis with complication
Anup Singh1, David Victor Kumar Irugu1, Hitesh Verma2
1Department of ENT, All India Institute of Medical Sciences, New Delhi, India.
A rare form of tuberculosis affecting the ear and mastoid is difficult to diagnose due to non-specific symptoms. The GeneXpert test proved useful for detecting mycobacteria in this challenging paucibacillary case.
Area of Science:
- Otolaryngology
- Infectious Diseases
- Radiology
Background:
- Tuberculosis (TB) rarely affects the otomastoid compartment.
- Diagnosis is challenging due to non-specific symptoms and paucibacillary nature.
Observation:
- A case of aural tuberculosis presented with zygomatic and Bezold abscesses.
- Symptoms were disproportionate to examination findings, mimicking an indolent ear infection.
Findings:
- The patient presented with localized abscesses without other systemic TB symptoms.
- GeneXpert testing was crucial for identifying mycobacteria in this paucibacillary condition.
Implications:
- Highlights the importance of considering tuberculosis in refractory ear infections.
- Emphasizes the utility of molecular diagnostic tools like GeneXpert for early and accurate diagnosis of aural TB.
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