Oudidi Abdellatif, El Alami Med Nourredine
Service d'oto-rhino-laryngologie, CHU Hassan II, Fès, Morocco.
J Otolaryngol. 2007 Feb;36(1):54-8. doi: 10.2310/7070.2006.0138.
The aim of this study was to emphasize the difficulties of diagnosing middle ear tuberculosis because of its nonspecific symptoms and to incite the physician to seek it more frequently.
Six cases of middle ear tuberculosis were diagnosed within a 4-year period and included in a retrospective study.
We listed two men and four women with an average age of 41 years. Two patients had a mastoidectomy with a histologic examination that enabled us to rectify the diagnosis. The medical treatment was based on a bactericidal chemotherapy. In all cases, the long-term evolution was favourable, with 11 months an average passing.
The symptoms of middle ear tuberculosis are misleading. Pathologic findings are increasingly taking a more important place in the diagnosis, which the new techniques of serologic tests will surely improve.
本研究旨在强调中耳结核因其非特异性症状而在诊断上存在困难，并促使医生更频繁地对其进行排查。
在4年期间内诊断出6例中耳结核病例，并纳入一项回顾性研究。
我们列出了2名男性和4名女性，平均年龄为41岁。2例患者接受了乳突切除术并进行了组织学检查，这使我们能够修正诊断。药物治疗基于杀菌化疗。在所有病例中，长期病情发展良好，平均病程为11个月。
中耳结核的症状具有误导性。病理检查结果在诊断中越来越占据重要地位，血清学检测的新技术肯定会对此有所改善。
