Tuberculous otomastoiditis.
A review of the 20th century English-language literature has produced a total of 320 cases of tuberculous otitis media or otomastoiditis, of which a surprising 93 cases have been reported in the 5-year period 1986-1990. Eighty-three percent of these have come from indigenous African populations. The international health and sociological implications of this development are disturbing. three personal cases seen during the past 8 years are presented, all of whom came from the indigenous Norwegian population. The epidemiology of these cases is therefore different, which can result in a diagnostic delay due to a low index of suspicion. The historically classical signs of this disease are frequently absent.
Mjøen
S
S
Department of Otorhinolaryngology, Ullevål Hospital, University of Oslo, Norway.
Grøntved
A
A
Holth
V
V
Mair
I W
IW
D000328:Adult; D005260:Female; D006801:Humans; D009169:Mycobacterium tuberculosis; D009664:Norway / Q000453:epidemiology; D010033:Otitis Media / Q000175:diagnosis / Q000453:epidemiology / Q000382:microbiology*; D014376:Tuberculosis / Q000175:diagnosis / Q000453:epidemiology