Tuberculous otitis media in a renal transplant recipient

Ergun I., KEVEN K., Sengul Ş., Kutlay S., Sertcelik A., ERTÜRK Ş., ...More

AMERICAN JOURNAL OF KIDNEY DISEASES, vol.43, no.6, 2004 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 43 Issue: 6
  • Publication Date: 2004
  • Doi Number: 10.1053/j.ajkd.2004.04.002
  • Journal Name: AMERICAN JOURNAL OF KIDNEY DISEASES
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Keywords: kidney transplantation, otitis media, tuberculosis (TB), INFECTIONS
  • Ankara University Affiliated: Yes

Abstract

Tuberculous otitis media is a rare cause of chronic suppurative Infection of the middle ear and a very uncommon form of extrapulmonary tuberculosis. Although there have been several case reports In the nonimmunosuppressive population of tuberculous otitis media, It has never been reported In an Immunosuppressed allograft recipient. We present a case of diagnosed tuberculous otitis media after recurrent chronic otitis media treated several times with empiric antibiotic treatment. After the patient developed postauricular fistula and underwent surgical removal of granulation tissue, the diagnosis was made on the basis of histopathology and growth In culture of Ziehl-Neelsen. Clinical response promptly followed Institution of antituberculous treatment Including isoniazid, rifampicin, ethambutol, and pyrazinamide.