ArticleCureus2026
When Otorrhea Hides Something Unexpected: A Challenging Case Report.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Tuberculosis remains a major global health concern, predominantly in low and middle-income countries. Tuberculous otitis media (TOM) is a rare form of extrapulmonary tuberculosis, representing a small fraction of tuberculosis and chronic suppurative otitis media cases. The nonspecific and indolent presentation of TOM, besides its rarity, often results in delayed diagnosis, mainly in regions with a low tuberculosis prevalence, with increased risk of irreversible complications. We report a case of TOM in a 36-year-old Portuguese woman with a four-month history of right ear pain, otorrhea, obstruction, and progressive hearing loss. Despite multiple evaluations and empirical antibiotic treatments, symptoms worsened. Otoscopic assessment at our centre revealed chronic necrotizing otitis media with tympanic membrane perforation. Computed tomography demonstrated extensive right-sided mastoid and middle ear opacification without bone erosion. Audiometry confirmed moderate conductive hearing loss, and the patient underwent mastoidectomy and ossiculoplasty. Histopathology showed necrotizing inflammation, but microbiological studies were not performed initially. Two weeks postoperatively, the patient developed respiratory and constitutional symptoms. Chest imaging revealed a cavitary lesion in the right lower lobe. Although initial direct and PCR sputum studies were negative, bronchoscopy confirmed
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