结核性中耳炎伴并发症

Tuberculous otitis media with complications.

作者信息

Cawthon T, Cox R H, Pankey G A

出版信息

South Med J. 1978 May;71(5):602-4. doi: 10.1097/00007611-197805000-00035.

DOI:10.1097/00007611-197805000-00035

Abstract

Tuberculous otitis media, although uncommon today, is still a differential diagnosis of suppurative otitis media. Our patient's otitis progressed from a draining ear with hearing loss to include facial nerve paralysis and meningitis. Several surgical procedures including radical mastoidectomy were insufficient to halt progression of the disease. After culture of acid-fast bacilli from the aural drainage and the cerebrospinal fluid, antituberculous chemotherapy was started and the patient responded well to treatment.

摘要

结核性中耳炎，尽管如今并不常见，但仍是化脓性中耳炎的鉴别诊断之一。我们的患者的中耳炎从有听力损失的耳流脓发展到包括面神经麻痹和脑膜炎。包括根治性乳突切除术在内的几种外科手术都不足以阻止疾病的进展。在从耳引流液和脑脊液中培养出抗酸杆菌后，开始了抗结核化疗，患者对治疗反应良好。