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Chronic nasopharyngeal and otitis media tuberculosis: diagnosis and management difficulties
  1. José Pedro Pais1,
  2. Maria Caçador1,
  3. Teresa Mourato2 and
  4. João Paço1
  1. 1ENT Department, Hospital CUF Tejo, Lisbon, Portugal
  2. 2Centro de diagnóstico Pneumológico Dr. Ribeiro Sanches, Administração Regional de Saúde de Lisboa e Vale do Tejo IP, Lisboa, Portugal
  1. Correspondence to Dr José Pedro Pais; jpcpais123{at}


Nasopharyngeal and otitis media tuberculosis are rare extrapulmonary manifestations of Mycobacterium tuberculosis infection. We present a case of a middle-aged woman with manifestations of both conditions along with a description of the anatomical and temporal evolution of the disease. This case also highlights the difficulty of diagnosis and management of this condition, requiring a multidisciplinary approach. Extrapulmonary tuberculosis must be considered in the differential diagnosis of multiple head and neck conditions, including refractory chronic rhinosinusitis and otitis.

  • Tuberculosis
  • Ear, nose and throat

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  • Contributors MC and JP contributed substantially to the planning and design of the work; TM and JP encouraged JPP to review the literature about the clinical evolution, management and treatment of nasopharyngeal tuberculosis and tuberculous otitis media. MC and JPP analysed and interpreted the data. TM contributed to the interpretation of clinical data regarding the pulmonary disease. JPP drafted the work. JP, MC and TM revised critically, added intellectual content and approved the version to be published.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.