Tuberculous otomastoiditis
Citation, DOI, disclosures and article data
Citation:
Jones J, Knipe H, Tuberculous otomastoiditis. Reference article, Radiopaedia.org (Accessed on 20 Feb 2025) https://doi.org/10.53347/rID-2223
Permalink:
rID:
2223
Article created:
Disclosures:
At the time the article was created Frank Gaillard had no recorded disclosures.
View Frank Gaillard's current disclosures
Last revised:
Disclosures:
At the time the article was last revised Jeremy Jones had no recorded disclosures.
View Jeremy Jones's current disclosures
Revisions:
3 times, by
2 contributors -
see full revision history and disclosures
Systems:
Synonyms:
- TB 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.
References
- 1. Swartz J, Harnsberger H. Imaging of the temporal bone. Georg Thieme Verlag. ISBN:0865777004. Read it at Google Books - Find it at Amazon
Incoming Links
Related articles: Infections
- bacterial
- Streptococcus pneumoniae
- Streptococcus anginosus group
- Staphylococcus aureus
- group A Streptococcus
- Klebsiella pneumonia
- Haemophilus influenzae
- Moraxella catarrhalis
- atypical
-
tuberculosis
- causative agent
- tuberculoma (tuberculous granuloma)
- tuberculous abscess
- miliary tuberculosis
- pulmonary tuberculosis
-
extrapulmonary tuberculosis
- intracranial tuberculosis
- tuberculous otomastoiditis
- tuberculous lymphadenopathy
- cardiac tuberculosis
- tuberculous mastitis
-
abdominal tuberculosis
- gastrointestinal tuberculosis
- tuberculous peritonitis
- visceral tuberculosis
- hepatic tuberculosis
- gallbladder tuberculosis
- pancreatic tuberculosis
- splenic tuberculosis
-
genitourinary tuberculosis
- renal tuberculosis
- bladder and ureteric tuberculosis
- prostatic tuberculosis
- scrotal tuberculosis (testes, epididymis, seminal vesicles, vas deferens)
- tuberculous pelvic inflammatory disease (female)
- skeletal tuberculosis
-
tuberculosis
- viral
- fungal
- Aspergillus
-
aspergillosis
- CNS aspergillosis
-
fungal sinusitis
- non-invasive: hyphae do not invade mucosa
- invasive: hyphae seen invading mucosa +/- beyond
- pulmonary aspergillosis