Clinical Finding, Diagnosis, and Management of Tuberculous Mastoiditis in 4 Cases

Authors

  • Sally Mahdiani
  • Lina Lasminingrum
  • Bambang Purwanto
  • Riri Handayani

DOI:

https://doi.org/10.37506/ijfmt.v15i3.15944

Keywords:

Antituberculosis, Mastoiditis, Radical Mastoidectomy, Tuberculosis

Abstract

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.

Author Biographies

Sally Mahdiani

Medical Staff,  Department of Otolaryngology Head and Neck Surgery, Faculty of Medicine, Universitas
Padjadjaran – Dr. Hasan Sadikin General Hospital, Bandung, Indonesia

Lina Lasminingrum

Medical Staff, Department of Otolaryngology Head and Neck Surgery, Faculty of Medicine, Universitas
Padjadjaran – Dr. Hasan Sadikin General Hospital, Bandung, Indonesia

Bambang Purwanto

Medical Staff, Department of Otolaryngology Head and Neck Surgery, Faculty of Medicine, Universitas
Padjadjaran – Dr. Hasan Sadikin General Hospital, Bandung, Indonesia

Riri Handayani

Resident, Department of Otolaryngology Head and Neck Surgery, Faculty of Medicine, Universitas
Padjadjaran – Dr. Hasan Sadikin General Hospital, Bandung, Indonesia

Published

2021-05-17

How to Cite

Sally Mahdiani, Lina Lasminingrum, Bambang Purwanto, & Riri Handayani. (2021). Clinical Finding, Diagnosis, and Management of Tuberculous Mastoiditis in 4 Cases. Indian Journal of Forensic Medicine & Toxicology, 15(3), 4149-4155. https://doi.org/10.37506/ijfmt.v15i3.15944