Bilateral Tuberculous Otitis: A Furtive Middle Ear Infection.

Tuberculosis is a highly challenging infectious disease that remains an important health issue, not only in developing countries, but also globally, since new cases of atypical tuberculosis resurface. Even though the global incidence of tuberculosis is on the rise, otologic manifestations of this pathology are a rare encounter for the ear nose and throat specialist, and bilateral localization is exceptional. Due to the numerous non-specific signs and symptoms of the condition and continuous genetic evolution of Mycobacterium, the diagnosis requires deep knowledge and fortuitous suspicion. The authors report a rare case of bilateral tuberculous otitis. What makes this case stand out is the fulminant, bilateral debut of the disease in an immunocompetent patient, with unknown primary infection and the knowledgeable course of clinical diagnosis.