Tuberculous Mastoiditis: Report of an Uncommon Case in Morocco*Corresponding Author: Abada RL, E.N.T Department, 20 August Hospital, Casablanca, Morocco, Tel: 00212-6-61235170, Email: [email protected]
Received Date: Jul 12, 2012 / Accepted Date: Jul 30, 2012 / Published Date: Aug 03, 2012
Citation: Abada RL, Nadef N, Elkhiati G, Rouadi S, Mahtar M, et al. (2012) Tuberculous Mastoiditis: Report of an Uncommon Case in Morocco. Otolaryngology 2:119.DOI: 10.4172/2161-119X.1000119
Copyright: © 2012 . This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Although tuberculosis is a major problem of public health in Morocco, the tuberculous mastoiditis remains extremely rare, and its diagnosis is often delayed. We report here the case of a 3-year-old child who had unusual chronic left mastoiditis and retro-auricular fistula, associated with spontaneous discharge of bony sequestrum. CT scan of temporal bones showed complete destruction of left mastoid cells. A left mastoidectomy confirmed the tuberculous mastoiditis diagnosis after histopathological examination. The clinical outcome was favorable after anti-tuberculosis treatment. Otologic tuberculosis of the ear is well described in the literature and symptoms include chronic otorrhea with audio-vestibular symptoms. The specificity of this case is that the child had an isolated involvement of the mastoid with spontaneous bony sequestrum discharge, but without otorrhea.