title: A 14-year-old girl with tuberculous otitis media and brain abscess.
abstract: Tuberculosis is a rare cause of chronic suppurative otitis media and mastoiditis. Intracranial complications are rare. The authors report a case of a 14-year-old girl with chronic otitis media of her right ear for 2&emsp14;years. Her presentation was as follows: 10&emsp14;days before admission she had a high fever, headache, alteration of consciousness and a generalised seizure. CT scanning of her brain showed right otomastoiditis with early brain abscess of the right cerebellum. She underwent right radical mastoidectomy and aspiration of the cerebellar abscess. The pus from the mastoid and cerebellar abscess was stained positive for acid-fast bacilli (AFB). The pus culture grew Mycobacterium tuberculosis (MTB). Her discharge diagnosis was tuberculous mastoiditis (TM) with cerebellar abscess. Long-term treatment plans included antituberculous drugs for 1&emsp14;year.
authors: Department of Pediatrics, Chiang Mai University, Chiang Mai, Thailand. aoberdor@med.cmu.ac.th
authors: Peninnah
authors: P
authors: Oberdorfer
authors: Kritsana
authors: K
authors: Kongthavonsakul
authors: Jintana
authors: J
authors: Intachumpoo
authors: Shaun
authors: S
authors: Odell
mesh_terms: D000293:Adolescent; D001922:Brain Abscess / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D002908:Chronic Disease; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D010035:Otitis Media, Suppurative / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016862:Tuberculoma, Intracranial / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery