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ISSN: 2161-119X

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  • Case Report   
  • Otolaryngology 2012, Vol 2(3): 119
  • DOI: 10.4172/2161-119X.1000119

Tuberculous Mastoiditis: Report of an Uncommon Case in Morocco

Abada RL*, Nadef N, Elkhiati G, Rouadi S, Mahtar M, Roubal M, Essaadi M and Kadiri F
E.N.T Department, 20 August Hospital, Casablanca, , 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

Abstract

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.

Keywords: Tuberculosis, Tuberculous mastoiditis, Bony sequestrum, Fistula, Mastoidectomy

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 Abada RL, et al. 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.

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