Otalgia as presentation of primary nasopharynx tuberculosis
Plaza Mayor, G.; Pinedo Moraleda, F.; Ferrando Alvarez-Cortina, J.; Espinosa Gimeno, A.; de los Santos Granados, G.
Anales Otorrinolaringologicos Ibero-Americanos 32(6): 585-591
2005
ISSN/ISBN: 0303-8874 PMID: 16475546 Document Number: 594547
We report a case of a 63-year-old woman who presented with left otalgia during more than six months. On examination, otoscopy was normal, whereas flexible nasopharyngoscopy revealed an asymmetry in the nasopharynx. CT scans confirmed the presence of a left nasopharyngeal mass. A transnasal endoscopic removal of the nasopharyngeal lesion was performed. Necrotizing granulomatosis was found. Tuberculosis of the nasopharynx was considered the final diagnosis, but oral treatment was not started. After 36 months of follow-up, nasal endoscopy and CT images show no sign of recurrence. Discussion is focused on the inclusion of nasopharyngeal diseases in otalgia differential diagnosis, histopathological diagnosis of granulomas and the need of any further treatment for these limited cases of extrapulmonary tuberculosis.