RT Journal Article SR Electronic T1 Chronic nasopharyngeal and otitis media tuberculosis: diagnosis and management difficulties JF BMJ Case Reports JO BMJ Case Reports FD BMJ Publishing Group Ltd SP e250690 DO 10.1136/bcr-2022-250690 VO 15 IS 8 A1 Pais, José Pedro A1 Caçador, Maria A1 Mourato, Teresa A1 Paço, João YR 2022 UL http://casereports.bmj.com/content/15/8/e250690.abstract 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.