Clinical Finding, Diagnosis, and Management of Tuberculous Mastoiditis in 4 Cases
Keywords:Antituberculosis, Mastoiditis, Radical Mastoidectomy, Tuberculosis
Background: Tuberculous mastoiditis is a rare case of chronic otitis media disease and extrapulmonary
tuberculosis, caused by Mycobacterium tuberculosis. Case Presentation: Four cases of tuberculous
mastoiditis were reported, ranging in age from 16 to 66 years. All patients presented with chronic discharge
with signs of mastoiditis with intra and extratemporal complications. Two patients only manifested in the
mastoid and two other patients had symptoms of tuberculosis in other organs, especially the lungs. All patients
underwent radical mastoidectomy and histopathological examination showed tuberculosis. All patients
received category 1 and category 2 antituberculosis drugs. Conclusion: The clinical features of tuberculous
mastoiditis vary. Diagnosis of tuberculous mastoiditis can be done by histopathological examination and
geneXpert. Surgical therapy and administration of antituberculosis are the main options in the management
of tuberculous mastoiditis.
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