Primary nasal tuberculosis of maxillary sinus leading to otitis media: a rare presentation

Meenesh Juvekar, Baisali Sarkar


Tuberculosis is one of the most common treatable infectious disease in India. Most common presentation being pulmonary tuberculosis. Primary tuberculosis of maxillary sinus leading to chronic otitis media is an extremely rare entity, diagnosis of which is often delayed and resulting in delay in start of actual treatment. The following report highlight a case of 63 years male patient presented with bilateral ear discharge, not responding to the routine antibiotic therapy. CT scan imaging denoted left pansinusitis with osteomyelitic changes in left maxillary sinus with otitis media. The diagnosis was confirmed by histopathological biopsy report. The patient was treated with Anti-tubercular regimen for 9 months and following which bilateral tympano-mastoidectomy was done.


Tuberculosis, Maxillary sinus, Middle ear, Eustachian tube, Otitis media

Full Text:



Odetoyinbo O. Early diagnosis of tuberculous otitis media. J Laryngol Otol. 1988;102(2):133-5.

Slutsker L, Castro KG, Ward JW, Dooley SW Jr. Epidemiology of extrapulmonary tuberculosis among persons with AIDS in the United States. Clin Infect Dis. 1993;16(4):513-8.

Kim YM, Kim AY, Park YH, Kim DH, Rha K. Eight cases of nasal tuberculosis. Otolaryngol Head Neck Surg. 2007;137(3)500-4.

Al-Serhani AM. Mycobacterial infection of the head and neck: presentation and diagnosis, Laryngoscope. 2001;111:2012-6.

Waldman SR, Levine HL, Sebek BA, Parker W, Tucker HM. Nasal tuberculosis: a forgotten entity, Laryngoscope. 1981;91:11-6.

McKibben BG, Sheehy JL. Tuberculosis of the middle ear and nasal passages. AMA Arch. Otolaryngol. 1956;63(3):286-9.

Butt AA. Nasal tuberculosis in the 20th century, Am J Med Sci. 1997;313:332-5.

Vital V, Printza A, Zaraboukas T. Tuberculous otitis media: a difficult diagnosis and report of four cases. Pathol Res Pract. 2002;198:31-5.

Sierra C, Fortun J, Barros C, Ruiz-Caliana J, Martínez-Vidal A, Alvarez F, et al, Extra-laryngeal head and neck tuberculosis. Clin Microbiol Infect. 2000;6:644-8.

Duclos JY, Darrouzet V, Ballester M. Tuberculose de l'oreille moyenne. Encycl Méd Chir, Oto-rhino-laryngologie, 20-235-A-10. Paris: Editions Scientifiques et Médicales Elsevier SAS; 1999.