Tuberculosis de oído medio. Descripción de dos casos

Abstract

Introduction and objective : The increasing incidence of tuberculosis in developed countries leads to an increase in the percentage of patients with atypical presentations and locations, including tuberculosis of the middle ear, a condition that is usually not considered before an ear pathology. Objective: Raising awareness among professionals about the possibility of an otic tuberculosis and facilitate its clinical management. Description: The literature on tuberculosis of the middle ear was revised and two cases were reported. Results : Tuberculosis of the middle ear is a very rare and multiform disease, characterized by ear pain , otorrhea and the presence of granulation tissue, whose diagnosis, that is usually late due to the low index of suspicion, is based on pathological and microbiological studies. We present two illustrative case studies of evolution and management of the disease. Conclusions: Chronic otitis media with symptomatology and/or atypical presentation, especially by the existence of chronic pain and lush and/or recurrent granulation tissue, should involve taking samples for histopathological and/or microbiological studies that may lead to this diagnosis.