Temporal bone infection caused by atypical mycobacterium: case report and review of the literature.
OBJECTIVE
To discuss the clinical aspects and management of nontuberculous mycobacteriosis of the temporal bone.


METHODS
Case report and review of the literature.


METHODS
University hospital, tertiary referral center.


RESULTS
The authors describe an uncommon case of nontuberculous mycobacteriosis of the temporal bone in an immunosuppressed 62-year-old woman with facial nerve paralysis caused by disease complication. The case was cured with radical tympanomastoidectomy and prolonged multiple antibiotic therapy.


CONCLUSIONS
Nontuberculous mycobacteriosis should be suspected in immunosuppressed patients with intractable middle ear granulations. Cultural and histologic examinations are the mainstay for diagnosis. Long-standing multiantibiotic therapy together with aggressive surgery should be considered as appropriate management.
Department of Otolaryngology-Head and Neck Surgery, University of Brescia, Italy. redaelli@master.cci.unibs.it
Luca Oscar
LO
Redaelli de Zinis
Andrea
A
Tironi
Nader
N
Nassif
Daniela
D
Ghizzardi
D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D005154:Facial Nerve / Q000473:pathology; D005158:Facial Paralysis / Q000382:microbiology*; D005260:Female; D006801:Humans; D016867:Immunocompromised Host; D008875:Middle Aged; D009165:Mycobacterium Infections, Nontuberculous / Q000150:complications / Q000175:diagnosis / Q000382:microbiology / Q000628:therapy; D009170:Nontuberculous Mycobacteria / Q000472:pathogenicity*; D010033:Otitis Media / Q000382:microbiology; D013506:Otologic Surgical Procedures; D013701:Temporal Bone / Q000382:microbiology* / Q000473:pathology
D000900:Anti-Bacterial Agents