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Tuberculosis of the parotid gland and the middle ear: a rare case report

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Abstract

Aim

Tuberculosis of parotid gland is a rare entity only about a hundred cases have been reported till date. An associated tubercular otitis media is very rare. The present case was diagnosed by montoux test and treated successfully by ATT.

Case report

A 26-year old lady attended our OPD with complaints of swelling over rt. parotid area and discharge from rt. ear since 5 and 3 months respectively. clinical examination, revealed a, non tender, soft, fluctuant parotid swelling of 4×2 cm, with rt. level 1b lymphadenopathy and granulations at annulus and dull, lustureless retracted TM with discharge. FNAC of parotid and granulation biopsy revealed epitheloid and giant cells with no caseation. Z-N stain for AFB, chest radiograph, serum ACE levels were unremarkable. Montoux test was positive (20FNx0120mm) and ESR was 42 mm/hr. A CT scan showed isodense mass with hypodesne centre and rim enhancement in the rt. parotid gland and MRI on T2W images had mastoiditis and middle ear mucosal disease. The patient was advised ATT and had remarkable improvement.

Conclusion

Parotid gland and middle ear tuberculosis is rare. FNAC and Z-N staining of the aspirate, should be routinely done. Further an AFB negative presumptive diagnosis by this method may prompt a trial of ATT which can be rewarding.

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Correspondence to Abhineet Jain D.L.O., DNB.

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None declared.

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Banerjee, P.K., Jain, A. & Manjunath, D. Tuberculosis of the parotid gland and the middle ear: a rare case report. Egypt J Otolaryngol 31, 196–198 (2015). https://doi.org/10.4103/1012-5574.161618

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Keywords

  • middle ear
  • Mantoux test
  • parotid
  • tuberculosis