medigraphic.com

2024, Number 1

<< Back

Enf Infec Microbiol 2024; 44 (1)

Skull base osteomyelitis, a rare manifestation of extrapulmonary tuberculosis

Castrejón RD, Durán PAE, Guerra AM

Language: Spanish
References: 20
Page: 36-40
PDF size: 295.57 Kb.


ABSTRACT

Introduction. Tuberculosis is an infection caused by the group of organisms of the Mycobacterium tuberculosis complex, it represents a high morbidity and mortality, especially in low income countries. This bacillus is mainly a pulmonary pathogen but M. tuberculosis can cause disease in any part of the body and when it occurs, it is called as extra pulmonary tuberculosis, it represents 25% of tuberculosis cases. Mycobacterium tuberculosis is responsible for 0.05 and 0.9% of cases for chronic infections of medium ear.
Clinical case. 77-year-old males with poorly controlled diabetes type 2, presented with chronic middle ear otitis complicated by skull base osteomyelitis.
Conclusions. Osteomyelitis by M. tuberculosis is a very rare manifestation of extra pulmonary tuberculosis with high mortality and associated complications.


REFERENCES

  1. Norma Oficial Mexicana nom-006-ssa2-2013, “Para laprevención y control de la tuberculosis”, Diario Oficialde la Federación, 2013.

  2. Pai, M., Behr, M.A., Dowdy, D., Dheda, K., Divangahi,M., Boehme, C.C. et al., “Tuberculosis”, Nat Rev Dis Primers,2016, 2 (1): 16076.

  3. Ramírez-Lapausa, M., Menéndez-Saldaña, A. y Noguerado-Asensio, A., “Tuberculosis extrapulmonar, una revisión”,Rev Esp Sanid Penit, 2015, 17 (1): 3-11.

  4. Gopalaswamy, R., Dusthackeer, V.N.A., Kannayan, S. ySubbian, S. “Extrapulmonary tuberculosis: an update onthe diagnosis, treatment and drug resistance, J. Respir,2021, 1: 141-164.

  5. Baykan, A.H., Sayiner, H.S., Aydin, E., Koc, M., Inan, I. yErturk, S.M., “Extrapulmonary tuberculosis: an old butresurgent problem”, Insights Imaging, 2022, 13 (1): 39.

  6. Sharma, S.K., Mohan, A. y Kohli, M., “Extrapulmonarytuberculosis”, Expert Rev Respir Med, 2021, 15 (7):931-948.

  7. Diplan Rubio, J.M., Alarcón, A.V., Díaz, M.P., Vales, O.,Hinojosa, R., Del Ángel, J.M. et al., “Neuro-otologicmanifestations of tuberculosis. ‘The great imitator’”,Am J Otolaryngol, 2015, 36 (3): 467-471.

  8. Hand, J.M. y Pankey, G.A., “Tuberculous Otomastoiditis”,Microbiol Spectr, 2016, 4 (6): 4.6.27.

  9. Bhalla, R.K., Jones, T.M., Rothburn, M.M.y Swift, A.C.,“Tuberculous otitis media: a diagnostic dilemma”, AurisNasus Larynx, 2001, 28 (3): 241-243.

  10. Cho, Y., Lee, H., Kim, S., Chung, K., Lee, D., Koh, W. et al.,“Tuberculous otitis media: a clinical and radiologic analysisof 52 patients”, Laryngoscope, 2006, 116 (6): 921-927.

  11. Awan, M.S. y Salahuddin, I., “Tuberculous otitis media:two case reports and literature review”, Ear Nose ThroatJ, 2002, 81 (11): 792-794.

  12. Harisinghani, M.G., McLoud, T.C., Shepard, J.A.O., Ko,J.P., Shroff, M.M. y Mueller, P.R., “Tuberculosis fromhead to toe: (cme available in print version and on rsnaLink)”, RadioGraphics, 2000, 20 (2): 449-470.

  13. Vaamonde, P., Castro, C., García-Soto, N., Labella, T. yLozano, A., “Tuberculous otitis media: a significant diagnosticchallenge”, Otolaryngol: Head Neck Surg, 2004,130 (6): 759-766.

  14. Bala, K., Kumari, S., Monga, R., Sagar, P., Thakar, A.,Sharma, S.C. et al., “Spectrum of mycobacterial pathogensresponsible for head and neck tuberculosis-likepresentation”, Access Microbiology, 2021, 3 (12).

  15. Patmore, H., Jebreel, A., Uppal, S., Raine, C.H. yMcWhinney, P., “Skull base infection presenting withmultiple lower cranial nerve palsies”, Am J Otolaryngol,2010, 31 (5): 376-380.

  16. Raut, A.A., Nagar, A.M., Muzumdar, D., Chawla, A.J.,Narlawar, R.S., Fattepurkar, S. y Bhatgadde, V.L., “Imagingfeatures of calvarial tuberculosis: a study of 42cases”, Am J Neuroradiol, 2004, 25 (3): 409-414.

  17. Pascual-Pareja, J.F., Carrillo-Gómez, R., Hontañón-Antoñana,V. y Martínez-Prieto, M., “Tratamiento de la enfermedadtuberculosa pulmonar y extrapulmonar”, EnfermInfecc Microbiol Clin, 2018, 36: 507-516.

  18. Nahid, P., Dorman, S.E., Alipanah, N., Barry, P.M.,, BrozekJ.L., Cattamanchi, A. et al., “Official American ThoracicSociety/Centers for Disease Control and Prevention/InfectiousDiseases Society of America Clinical PracticeGuidelines: treatment of drug-susceptible tuberculosis”,Clin Infect Dis, 2016, 63 (7): e147-195.

  19. Kommu, V.R., Khera, R., Tagore, R., Murthy, S.S., Sundaram,C. y Kotha, S., “Tuberculous osteomyelitis of frontalbone: a case study and review of the literature”, jcr, 2019, 74-76.

  20. Álvarez Jáñez, F., Barriga, L.Q., Íñigo, T.R. y Roldán Lora,F., “Diagnosis of skull base osteomyelitis”, Radio Graphics,2021, 41 (1): 156-174.




2020     |     www.medigraphic.com