Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology · 2003
Temporal bone infection caused by atypical mycobacterium: case report and review of the literature.
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Redaelli de Zinis Luca Oscar, Tironi Andrea, Nassif Nader, Ghizzardi Daniela
Аннотация
OBJECTIVE: To discuss the clinical aspects and management of nontuberculous mycobacteriosis of the temporal bone.
STUDY DESIGN: Case report and review of the literature.
SETTING: University hospital, tertiary referral center.
PATIENT, INTERVENTION, AND RESULTS: The authors describe an uncommon case of nontuberculous mycobacteriosis of the temporal bone in an immunosuppressed 62-year-old woman with facial nerve paralysis caused by disease complication. The case was cured with radical tympanomastoidectomy and prolonged multiple antibiotic therapy.
CONCLUSIONS: Nontuberculous mycobacteriosis should be suspected in immunosuppressed patients with intractable middle ear granulations. Cultural and histologic examinations are the mainstay for diagnosis. Long-standing multiantibiotic therapy together with aggressive surgery should be considered as appropriate management.
STUDY DESIGN: Case report and review of the literature.
SETTING: University hospital, tertiary referral center.
PATIENT, INTERVENTION, AND RESULTS: The authors describe an uncommon case of nontuberculous mycobacteriosis of the temporal bone in an immunosuppressed 62-year-old woman with facial nerve paralysis caused by disease complication. The case was cured with radical tympanomastoidectomy and prolonged multiple antibiotic therapy.
CONCLUSIONS: Nontuberculous mycobacteriosis should be suspected in immunosuppressed patients with intractable middle ear granulations. Cultural and histologic examinations are the mainstay for diagnosis. Long-standing multiantibiotic therapy together with aggressive surgery should be considered as appropriate management.