title: A rare case of primary otoscleroma of the middle ear.
abstract: OBJECTIVE
  We report an extremely rare case of primary otoscleroma.
  
  
  METHODS
  We present a case report and a review of the world literature concerning otoscleroma.
  
  
  RESULTS
  An adult woman presented with chronic suppurative otitis media with tubotympanic disease and conductive hearing loss. On mastoid exploration, dark granulations were seen, which were identified as otoscleroma on histopathological examination. The patient responded well to streptomycin.
  
  
  CONCLUSIONS
  To the best of our knowledge, this is the first report of primary otoscleroma in the world literature. This case indicates that Frisch's bacillus can also spread to the middle ear.
authors.affiliation: Department of ENT, Al-Ameen Medical College, Bijapur, Karnataka, India. ashfak_kakeri@yahoo.com
authors.forename: A R
authors.initials: AR
authors.lastname: Kakeri
authors.forename: A H
authors.initials: AH
authors.lastname: Patel
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004427:Ear Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D004432:Ear, Middle; D005260:Female; D006314:Hearing Loss, Conductive / Q000209:etiology; D006801:Humans; D010035:Otitis Media, Suppurative / Q000209:etiology; D012226:Rhinoscleroma / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D013307:Streptomycin / Q000627:therapeutic use
chemical_list: D000900:Anti-Bacterial Agents; D013307:Streptomycin