以鼓室积液为首发表现的结核性中耳炎1例

Tuberculous otomastoiditis presenting as hydrotympanum:one case report

结核性中耳炎是结核杆菌感染所致的鼓室及乳突病变,多继发于肺结核、淋巴结结核或骨关节结核等。我国是结核病高发地区,近几十年,随着抗结核治疗的普遍应用,结核病患病率呈逐年下降趋势。但随着耐药性的增加,近几年肺外结核在很多地区呈上升趋势。耳鼻咽喉结核中最常见的是喉结核,咽结核及耳结核次之,鼻结核最少见[1]。

To study the clinical features,diagnosis and treatments of tuberculous otomastoiditis.One case is reported and literatures are reviewed.In this report,the specimen of the middle ear revealed the presence of acid fast bacilli(AFB),grew mycobacterium tuberculosis on a culture.Lung CT scans demonstrated tuberculosis.After anti-tuberculosis therapy,the symptoms disappeared and did not recur in 3 years.Hydrotympanum can be the early symptom of tuberculous otomastoiditis.When persistent otorrhea can not be improved by conventional therapy,tuberculous otomastoiditis should be considered as one of the differential diagnosis.