PT - JOURNAL ARTICLE AU - Pais, José Pedro AU - Caçador, Maria AU - Mourato, Teresa AU - Paço, João TI - Chronic nasopharyngeal and otitis media tuberculosis: diagnosis and management difficulties AID - 10.1136/bcr-2022-250690 DP - 2022 Aug 01 TA - BMJ Case Reports PG - e250690 VI - 15 IP - 8 4099 - http://casereports.bmj.com/content/15/8/e250690.short 4100 - http://casereports.bmj.com/content/15/8/e250690.full SO - BMJ Case Reports2022 Aug 01; 15 AB - 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.