TY - JOUR T1 - Chronic nasopharyngeal and otitis media tuberculosis: diagnosis and management difficulties JF - BMJ Case Reports JO - BMJ Case Reports DO - 10.1136/bcr-2022-250690 VL - 15 IS - 8 SP - e250690 AU - José Pedro Pais AU - Maria Caçador AU - Teresa Mourato AU - João Paço Y1 - 2022/08/01 UR - http://casereports.bmj.com/content/15/8/e250690.abstract N2 - 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. ER -