结核性中耳炎诊断中遇到的挑战：病例报告与文献综述
Challenges encountered in the diagnosis of tuberculous otitis media: case report and literature review.
作者信息
Dale O T, Clarke A R, Drysdale A J
机构信息
ENT Department, Musgrove Park Hospital, Taunton, UK.
出版信息
J Laryngol Otol. 2011 Jul;125(7):738-40. doi: 10.1017/S0022215111000971.
OBJECTIVE
To report a rare case of tuberculous otitis media, and to highlight barriers to clinical and microbiological diagnosis.
METHOD
Case report and literature review.
RESULTS
Tuberculous otitis media is a rare cause of chronic ear infection in the UK. Its symptoms may mimic a range of other otological conditions, including otitis media, chronic suppurative otitis media, cholesteatoma and necrotising otitis media.
CONCLUSION
This case report highlights the challenges of obtaining a clinical diagnosis of tuberculous otitis media, and emphasises the fact that screening for acid-fast bacilli is not sufficient, in isolation, to rule out mycobacterial infection.
目的
报告一例罕见的结核性中耳炎病例，并强调临床和微生物学诊断的障碍。
方法
病例报告及文献复习。
结果
在英国，结核性中耳炎是慢性耳部感染的罕见病因。其症状可能类似于一系列其他耳科疾病，包括中耳炎、慢性化脓性中耳炎、胆脂瘤和坏死性中耳炎。
结论
本病例报告突出了结核性中耳炎临床诊断面临的挑战，并强调仅靠抗酸杆菌筛查不足以排除分枝杆菌感染这一事实。
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