Diagnosis of miliary tuberculosis by examination of middle ear discharge.
Extrapulmonary foci of tuberculosis appear more frequently than in previous years, while the incidence of tuberculous otitis, a neglected and often difficult to diagnose entity, is unknown. We describe a case of an adult with miliary tuberculosis not initially suspected on clinical criteria, in whom the diagnosis of miliary tuberculosis was made by inspection of a modified Kinyoun stain of occult ear discharge. The significance and diagnostic problems associated with tuberculous otitis are briefly reviewed.
Vomero
E
E
St Luke's-Roosevelt Hospital Center, College of Physicians and Surgeons, New York.
Ratner
S J
SJ
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D006801:Humans; D008297:Male; D010033:Otitis Media / Q000188:drug therapy / Q000209:etiology*; D014391:Tuberculosis, Miliary / Q000150:complications* / Q000175:diagnosis
D000900:Anti-Bacterial Agents