中耳・上咽頭結核の1例

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  • A Case of Middle-ear/Nasopharyngeal Tuberculosis.

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We summarize a case of middle-ear/nasopharyngeal tuberculosis. A 31-year-old woman was diagnosed with inflammation of the external auditory meatus and treated for left-ear otorrhea by a local physician did not improve and she experienced dizziness during the clinical course, indicating possible middle-ear cholesteatoma. When she was referred to us, initial intraaural findings suggested middle-ear tuberculosis. Repeated bacteriological and pathological examinations resulted in a diagnosis of middle-ear tuberculosis. Tubercle vacilli were detected in a tumorous lesion found in the nasopharynx. Combined multidrug therapy with antituberculosis drugs improved middle-ear and nasopharyngeal findings and hearing. In refractory otitis media, therefore necessary to consider this disease and conduct repeated bacteriological testing.

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