title: Primary tuberculous petrositis.
abstract: Tuberculous osteomyelitis of the temporal bone is a rare and dangerous entity that should be included in the differential diagnosis of infectious processes of the base of the skull. We present the case of an 11-year-old child who presented with diplopia, ear discharge and hearing loss. The radiological and histopathological findings revealed tuberculous otitis with osteomyelitis and an abscess in the petrous apex. The child responded to anti-tuberculous chemotherapy. The diagnosis and management of tuberculous osteomyelitis are discussed and a brief review of the literature is presented.
authors.affiliation: Department of ENT and Head and Neck Surgery, Maulana Azad Medical College and LN Hospital, New Delhi, India. dr_sethi@rediffmail.com
authors.forename: Ashwani
authors.initials: A
authors.lastname: Sethi
authors.forename: Anup
authors.initials: A
authors.lastname: Sabherwal
authors.forename: Achal
authors.initials: A
authors.lastname: Gulati
authors.forename: Deepika
authors.initials: D
authors.lastname: Sareen
mesh_terms: D000995:Antitubercular Agents / Q000627:therapeutic use; D002648:Child; D003937:Diagnosis, Differential; D004172:Diplopia / Q000209:etiology*; D020802:Epidural Abscess / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D046089:Hearing Loss, Mixed Conductive-Sensorineural / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D010035:Otitis Media, Suppurative / Q000175:diagnosis* / Q000601:surgery; D010579:Petrous Bone / Q000473:pathology / Q000601:surgery; D013100:Sphenoid Bone / Q000473:pathology / Q000601:surgery; D013701:Temporal Bone / Q000473:pathology / Q000601:surgery; D014394:Tuberculosis, Osteoarticular / Q000175:diagnosis* / Q000601:surgery
chemical_list: D000995:Antitubercular Agents