以鼓室积液为首发表现的结核性中耳炎1例

徐明芳; 沈敏; 万俐佳; 佘腊枝; 姜义道

doi:10.13201/j.issn.1001-1781.2019.09.022

以鼓室积液为首发表现的结核性中耳炎1例

- 华中科技大学同济医学院附属荆州医院耳鼻咽喉头颈外科(湖北荆州, 434020)

详细信息

通讯作者: 姜义道,E-mail:1069670346@qq.com

中图分类号: R764.21

收稿日期: 2018-09-28

Tuberculous otomastoiditis presenting as hydrotympanum:one case report

More Information

Corresponding author: JIANG Yidao, E-mail: 1069670346@qq.com

Received Date: 28 September 2018

摘要

- 中耳炎,化脓性 /
- 结核 /
- 鼓室积液
Abstract: To study the clinical features, diagnosis and treatments of tuberculous otomastoiditis. One case is reported and literatures are reviewed. In this report, the specimen of the middle ear revealed the presence of acid fast bacilli(AFB), grew mycobacterium tuberculosis on a culture. Lung CT scans demonstrated tuberculosis. After anti-tuberculosis therapy, the symptoms disappeared and did not recur in 3 years. Hydrotympanum can be the early symptom of tuberculous otomastoiditis. When persistent otorrhea can not be improved by conventional therapy, tuberculous otomastoiditis should be considered as one of the differential diagnosis.
- otitis media, suppurative /
- tuberculosis /
- hydrotympanum

HTML全文

参考文献(16)

[1]	黄选兆,汪吉宝.实用耳鼻咽喉科学[M].北京:人民卫生出版社,1998:1118-1119.
[2]	丁滨,陈晓红.2004-2013年耳鼻咽喉疾病中国误诊大数据概要分析[J].临床耳鼻咽喉头颈外科杂志,2016,30(15):1195-1200.
[3]	WALLNER L J.Tuberculous otitis media[J].Laryngoscope,1953,63:1058-1077.
[4]	朱莉贞.加强对肺外结核病的协作研究[J].中华结核和呼吸杂志,2008,31(2):81-82.
[5]	CHO Y S,LEE H S,KIM S W,et al.Tuberculous otitis media:a clinical and radiologic analysis of 52 patients[J].Laryngoscope,2006,116:921-927.
[6]	VAAMONDE P,CASTRO C,GARCíA-SOTO N,et al.Tuberculous otitis media:a significant diagnostic challenge[J].Otolaryngol Head Neck Surg,2004,130:759-766.
[7]	NISHIIKE S,IRIFUNE M,OSAKI Y,et al.Tuberculous otitis media:clinical aspects of 12 cases[J].Ann Otol Rhinol Laryngol,2003,112:935-938.
[8]	DALE O T,CLARKE A R,DRYSDALE A J.Challenges encountered in the diagnosis of tuberculous otitis media:case report and literature review[J].J Laryngol Otol,2011,125:738-740.
[9]	OH S J,YI K I,LEE C H,et al.Primary tuberculosis of the eustachian tube causing otitis media with effusion[J].Am J Otolaryngol,2015,36:575-577.
[10]	李志勇,刘世喜,邹剑,等.结核性中耳乳突炎的误诊原因探讨[J].临床耳鼻咽喉头颈外科杂志,2013,27(22):1252-1254.
[11]	CHIRCH L M,AHMAD K,SPINNER W,et al.Tuberculous otitis media:report of 2 cases on Long Island,N.Y.,and a review of all cases reported in the United States from 1990 through 2003[J].Ear Nose Throat J,2005,84:1060-1066.
[12]	黄石,赵宇,杨奉玲,等.结核性中耳乳突炎13例临床分析并文献复习[J].临床耳鼻咽喉头颈外科杂志,2014,28(4):243-245.
[13]	CAVALLIN L,MUREN C.CT findings in tuberculous otomastoiditis:A case report[J].Acta Radiol,2000,41:49-51.
[14]	KAMESWARAN M,NATARAJAN K,PARTHIBAN M,et al.Tuberculous otitis media:a resurgence[J]? J Laryngol Otol,2017,131:785-792.
[15]	GARCOVICH A,ROMANO L,ZAMPETTI A,et al.Tumour-like ear lesion due to Mycobacterium tuberculosis diagnosed by polymerase chain reaction-reverse hybridization[J].Br J Dermatol,2004,150:370-371.
[16]	SAUNDERS N C,ALBERT D M.Tuberculous mastoiditis:when is surgery indicated[J]? Int J Pediatr Otorhinolaryngol,2002,65:59-63.