Ototuberculosis
The mycobacterium tuberculosis rarely affects the middle ear (TOM) and mastoid. The increasing incidence of tuberculosis both our country and the U.S. is associated with an increased frequency of occurrence of TOM.
Patients usually present with a perforated eardrum and purulent drainage refractory to standard therapy, and a deep hipoacusiaprogresiva. the correct diagnosis is made with the consideration of this possible diagnosis in a patient with possible pulmonary TB disease. TOM Proper evaluation includes chest radiograph, ppd, and culture for acid-resistant bacteria. Treatment is with antituberculous drugs and surgery is rarely needed.
The ototuberculosis is an entity of infrequent occurrence in our environment, which rarely presents with signosintomatologia predominantly otologic and is overlapped by the pulmonary box.
The increase in tuberculosis in our environment and enhancing the appearance of acquired immunodeficiency syndrome, probably increase the frequency of otologic tables so close communication with the pulmonologist, we should make a greater case mix, which now often appears unnoticed.
We believe that the specialist should always be suspected diagnosis of tuberculous otitis media specified in patients with pulmonary or immunocompromised. In those with oozing refractory to conventional therapy, whatever the image otomicroscopica.