Hernández VG, Pirrón LJA

Language: Spanish
References: 14
Page: 77-83
PDF size: 782.51 Kb.

ABSTRACT

Complications of otitis media occur when the normal defense barriers of the middle ear are overcome, permitting infection to spread to adjacent structures. Complications are classically subdivided for their study as intratemporal and intracranial. In approximately one-third of cases, two or more otogenic complications are present concomitantly. Tubercular otitis media is an uncommon disease, and the isolated damage to the middle ear without an active pulmonary disease is rare but can occur. Five to ten percent of patients with tuberculosis develop extra pulmonary compromise. Less than 30% of patients with central nervous system tuberculosis have a positive history or clinical data of active pulmonary tuberculosis. One of the clinical forms of presentation of tuberculosis of the central nervous system are tuberculomas which are defined as nodular or annular lesions with perilesional edema and a “target sign” at the MRI. Literature is reviewed taking as guideline the case of a 44-year-old female patient who presented chronic otitis media without cholesteatoma complicated with facial paralysis, meningitis, labyrinthitis and labyrinthine fistula and who also presented tuberculosis of the central nervous system in the form of brainstem tubercluloma.

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