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酷似胆脂瘤的原发性中耳结核。

Primary middle ear tuberculosis mimicking cholesteatoma.

作者信息

Aziz A, Md Daud M K

机构信息

Department of Otorhinolaryngology School of Medical Sciences Universiti Sains Malaysia Malaysia.

出版信息

Malays Fam Physician. 2020 Mar 18;15(1):44-46. eCollection 2020.

PMID:32284804
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7136677/
Abstract

Tuberculous granuloma in the middle ear is an unusual entity. Herein, we report a case with short presentation of otitis media with mastoid abscess but with a CT scan showing widespread bone destruction. The cause was determined to be middle ear tuberculosis. Awareness of this entity is important, as it may cause a delay in referral to an otorhinolaryngology specialist and, subsequently, a delay in initiating treatment. Therefore, it should be considered in the differential diagnosis, especially when the usual treatment fails to produce the desired result.

摘要

中耳结核性肉芽肿是一种罕见的病症。在此,我们报告一例病例,该病例最初表现为中耳炎伴乳突脓肿,但CT扫描显示广泛的骨质破坏。病因经确定为中耳结核。认识到这种病症很重要,因为它可能导致转诊至耳鼻喉科专科医生的延迟,进而导致开始治疗的延迟。因此,在鉴别诊断中应考虑到它,尤其是在常规治疗未能产生预期效果时。

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Primary middle ear tuberculosis mimicking cholesteatoma.酷似胆脂瘤的原发性中耳结核。
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本文引用的文献

1
Comparison of histopathology, acid fast bacillus smear and real-time polymerase chain reaction for detection of Mycobacterium tuberculosis in anal fistula in 161 patients: A prospective controlled trial.161例肛瘘患者中组织病理学、抗酸杆菌涂片及实时聚合酶链反应检测结核分枝杆菌的比较:一项前瞻性对照试验
Int J Mycobacteriol. 2016 Dec;5 Suppl 1:S208-S209. doi: 10.1016/j.ijmyco.2016.09.055. Epub 2016 Nov 23.
2
Chronic Tuberculous Otomastoiditis: A Case Report.慢性结核性中耳乳突炎:一例报告
J Int Adv Otol. 2016 Aug;12(2):219-221. doi: 10.5152/iao.2016.2097.
3
Mastoiditis and facial paralysis as initial manifestations of temporal bone systemic diseases - the significance of the histopathological examination.乳突炎和面神经麻痹作为颞骨系统性疾病的初始表现——组织病理学检查的意义
Rom J Morphol Embryol. 2016;57(1):243-8.
4
Bilateral tuberculous otomastoiditis in an immmunocompetent 5-year-old child: CT and MRI findings (2009: 3b).一名免疫功能正常的5岁儿童的双侧结核性中耳乳突炎:CT和MRI表现(2009年:3b)
Eur Radiol. 2009 Jun;19(6):1560-3. doi: 10.1007/s00330-008-1130-7. Epub 2009 Apr 30.
5
CT findings in tuberculous otomastoiditis. A case report.
Acta Radiol. 2000 Jan;41(1):49-51.