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Anales de Otorrinolaringología Mexicana

2014, Number 1

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Otorrinolaringología 2014; 59 (1)

Different Manifestations between Suppurative Otitis Media Due to Wegener Granulomatosis and Due to Mycobacterias. Analysis of 11 Cases

Martínez MG, González Sf, Plowes HO

Language: Spanish
References: 28
Page: 11-25
PDF size: 922.51 Kb.


ABSTRACT

Background: Systemic diseases affecting ear include infectious processes, tumors, deposit diseases and autoimmune diseases.
Objective: To analyze clinical, imagenologic and audiologic differences between patients with Wegener’s granulomatosis and otic tuberculosis.
Material and methods: A retrospective study was designed including the clinical records of patients diagnosed as suppurative otitis media secondary to Wegener’s granulomatosis or otic tuberculosis attended in the Department of Otorhynolaryngology and Head and Neck Surgery of General Hospital Dr. Manuel Gea Gonzalez from 2008 to 2012.
Results: Eleven patients were included, 8 of them were diagnosed as Wegener’s granulomatosis and 3 as otic tuberculosis.
Conclusions: Unilateral otorrhea that does not respond to common treatments, in a young patient with a tympanic perforation and granulation tissue on otoscopic examination, bone erosion on computed tomography and a conductive hearing loss suggests mycobacterial infection. On the other hand, a person in the 4th or 5th decade of life, with bilateral otorrhea that does not respond to common treatments, with a thickened tympanic membrane and sensorineural hearing loss suggests Wegener’s granulomatosis.


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