SCIENTIFIC-PRACTICAL JOURNAL

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No5(4) 2021

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DOI 10.37219/2528-8253-2021-5-73

Pukhlik SM, Titarenko OV, Sushko NV, Shchelkunov AP
Tuberculosis otitis media: problem relevance
Pukhlik Sergey Mikhailovich
Odessa National Medical University
Head of the Department of Otorhinolaryngology
Doctor of Medical Sciences, Professor
E-mail: lor@te.net.ua.
Orchid: http://orcid.org/0000-0001-7196-9642
https://www.scopus.com/authid/detail.uri?authorId=6506298353

Titarenko Olga V.
Odessa National Medical University
Department of Otorhinolaryngology
Associate Professor
Candidate of Medical Sciences
e-mail: otit3333@gmail.com
ORCID 0000-0002-6024-0757

Sushko Nataliya Vasylyvna
Odessa Regional Center of Socially Significant Diseases
e-mail: snvveld@gmail.com
ORCID 0000-0002-4677-5819

Shchelkunov Anatolii Petrovych
Odesa National Medical University
Otorhinolaryngology Department, Candidate of Medical Sciences, assistant
e-mail: anatolii_shelkunov@i.ua
https://orcid.org/0000-0002-7014-5729

Abstract

Aim: currently clarification of the course characteristics, diagnosis and treatment principles of tuberculosis otitis media.
Materials and methods: The study included 6 cases (8 ears) of tuberculosis otitis media and mastoid process from 2015 to 2020. Clinical, radiological, bacteriological, pathomorphological studies were used for diagnostics.
Results: Primary localization of tuberculosis in the middle ear was found in 2 patients. In 4 patients tuberculosis middle otitis associated with lung affection. The disease manifested in the form of purulent perforated otitis media with a polymorphic otoscopic picture in all examined patients. The terms of the diagnosis were from 6 months to 1.5 years since the onset of the disease. This indicates the complexity of diagnosing the tuberculous etiology of the middle ear disease.

Keywords

 tuberculosis, otitis media.


Reference

  1. Global tuberculosis report 2019. Available from: https://www.who.int/publications/i/item/9789241565714.
  2. [Tuberculosis in Ukraine. Analytical and statistical reference book of the State Institution "Center for Public Health of the Ministry of Health of Ukraine"]. Kiev; 2019. 45 p. Available from: https://phc.org.ua/kontrol-zakhvoryuvan/
    tuberkuloz/statistika-z-tb/analitichno-statistichni-materiali-z-tb. [In Ukrainian].
  3. Ignatieva VI, Starkova OM, Zaykov SV, Gumenyuk GL. Organization of diagnostics and treatment of tuberculous otitis media. Materials of the scientific-practical conference "Current issues of management of patients with chemioresistant
    tuberculosis at stationary and ambulatory stages". Ukrainian Pulmonology Journal. 2018;(1д):22-3. [Article in Ukrainian].
  4. Pedro V, Crisanto C, Nicolas GS, Torcuato L, Ascensiуn L. Tuberculosis Otitis Media: A Significant Diagnostic Challenge. Otolaryngol Head Neck Surg. 2004;130(6):759-66. doi: 10.1016/ j.otohns.2003.12.021.
  5. Awan MS, Salahuddin I. Tuberculous otitis media: two case reports and literature review. Ear Nose Throat J. 2002;81(11):792-4.
  6. Chirch LM, Ahmad K, Spinner W, Jimenez VE, Donelan SV, Smouha E. Tuberculous otitis media: report of 2 cases on Long Island, N.Y., and a review of all cases reported in the United States from 1990 through 2003. Ear Nose Throat J. 2005;84(8):488, 490, 492 passim.
  7. Shramko AN. [Acute tuberculous otitis media complicated by facial nerve paresis]. Zhurnal ushnyh, nosovyh i gorlovyh boleznej. 2013(2):75-80. [Article in Russian].
  8. Barkanova ON, Gagarina SG, Kaluzhenina AA. [Tuberculous medium otitis: clinical example]. Journal of VolgSMU. 2020;76(4):103-5. [Article in Russian]. Available from: https://www. volgmed.ru/uploads/journals/articles/1609243246-
    vestnik-2020-4-3804.pdf.
  9. Shabaldina EV, Tikhonyuk VP, Akhtyamov DR, Ilyasova LV, Shabaldin AV. [Clinical case of primary middle ear tuberculosis in early childhood]. Russian otorhinolaryngology. 2012;57(2):218-9. [Article in Russian].
  10. Ma KH, Tang PSO, Chan KW. Aural Tuberculosis. Am J Otol. 1990;11(3):174-7.
  11. Cho Y-S, Lee H-S, Kim S-W, Chung K-H, Lee D-K, Koh W-J, Kim M-G. Tuberculous otitis media: A clinical and radiological analysis of 52 patients. Laryngoscope. 2006;116(6):921-7. doi: 10.1097/01.mlg.0000214861.87933.00.
  12. Krukov AI, Garov EV, Ivoĭlov AIu, Shadrin GB, Sidorina NG, Lavrova AS. [The clinical manifestations and diagnostics of otitis media caused by tuberculosis]. Vestn Otorinolaringol. 2015;80(3):28-34.
    https://doi.org/10.17116/otorino201580328-34. [Article in Russian].
  13. Windle-Taylor P, Bailey C. Tuberculous otitis media: a series of 22 patients. Laryngoscope. 1980;90(6 Pt 1):1039-44. doi:10.1002/lary.1980.90.6.1039.
  14. Sens PM, Almeida CI, Valle LO, Costa LH, Angeli ML. Tuberculosis of the ear, a professional disease? Braz J Otorhinolaryngol. 2008;74(4):621-7. doi: 10.1016/s1808-8694(15)30614-5.
  15. Chumakov FI, Deryugina OV. [ENT organs and tuberculosis]. Moscow: Medicine; 2004. 159 p. [In Russian].
  16. Lуpez SL, Ayala I, Suarez J, Malagуn J, Nellen H, Halabe J, Pisciotti L. Otitis media tuberculosa. An Med (Mex) 2005;50(1):30-34. Available from: https://www.medigraphic.com/pdfs/abc/bc-2005/bc051f.pdf.
  17. Khuzwayo Z, Naidu T. Head and neck tuberculosis in KwaZulu-Natal, South Africa. J Laryngol Otol. 2014;128(1):86-90. doi: 10.1017/S0022215113003435.
  18. Benavides GM, Morera FH, Saiz V, Mateos M, Collado D, Pйrez A, Morera PC. [Primary tuberculous otitis media]. Acta Otorrinolaringol Esp. 2000;51(3):255-8. [Article in Spanish].
  19. Bhalla R, Jones T, Rothburn M, Swift A. Tuberculous otitis media – а diagnostic dilemma. Auris Nasus Larynx. 2001;28(3):241-3. doi: 10.1016/s0385-8146(00)00114-0.
  20. Gyusan AO, Uzdenova RKh. [Bilateral tuberculous otitis media complicated with labyrinthine hypoacusis and bilateral paresis of the facial nerve]. Vestn Otorinolaringol 2008;(3):61-2. [Article in Russian]. Available from: https://www.
    mediasphera.ru/issues/vestnik-otorinolaringologii/2008/3/.
  21. Glover S, Tranter R, Innes J. Tuberculous otitis media – a reminder. J Laryngol Otol. 1981; 95(12):1261-4.  doi:10.1017/s0022215100092112.
  22. Vaamonde P, Castro C, Garcia-Soto N, Labella T, Lozano A. Tuberculous otitis media: a significant diagnostic challenge. Otolaryngol Head Neck Surg. 2004;130(6):759-66. doi: 10.1016/j.otohns.2003.12.021.
  23. Vital V, Printza A, Zaraboukas T. Tuberculous otitis media: a difficult diagnosis and report of four cases. Pathol Res Pract. 2002;198(1):31-5. doi: 10.1078/0344-0338-00181.
  24. Ignatieva VI, Zaikov SV, Nikolayeva OD, Svyatnenko VA. [Application of temporal bones computer tomography for tuberculosis otitis of media diagnostic and assessment of efficacy treatment]. Tuberculosis, lung diseases, HIV infection.
    2016;2(25):85-91. [Article in Ukrainian].
  25. Cavallin L, Muren C. CT findings in tuberculous otomastoiditis. A case report. Acta Radiol. 2000;41(1):49-51.
  26. Bezeha MI. [Improving the efficacy treatment of patients with acute otitis media, complicated by mastoiditis, using modified conservative and surgical techniques] [dissertation]. Kyiv, UA; SI «Ins-te of otolaryngology of NAMS»; 2018. 23 p. [In Ukrainian].
  27. Singh B. Role of surgery in tuberculous mastoiditis. J Laryngol Otol. 1991;105(11):907-15. doi:10.1017/s0022215100117797.
  28. Kiminyo K, Levi C, Krishnan J, Garro J, Lucey D. Tuberculous otitis media and mastoiditis (instructive cases). Infectious Diseases in Clinical Practice. 2001;10(9):491-2. Available from: https://journals.lww.com/infectdis/Fulltext/2001/12000/
    Tuberculous_Otitis_Media_and_Mastoiditis.7.aspx.
  29. Bhalla RK, Jones TM, Rothburn MM, Swift AC. Tuberculous otitis media – a diagnostic dilemma. Auris Nasus Larynx. 2001;28(3):241-3. doi: 10.1016/s0385-8146(00)00114-0.
 

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