{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T09:31:23Z","timestamp":1776763883404,"version":"3.51.2"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2023,4,24]],"date-time":"2023-04-24T00:00:00Z","timestamp":1682294400000},"content-version":"vor","delay-in-days":23,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Primary tuberculous otomastoiditis is a rare condition. Mastoiditis is an infection of the mastoid part of the temporal bone that often happens as a complication of otitis media. The spread of infection from the middle ear and mastoid to adjacent structures might result in rare but serious complications. We present a case of an 8-year-old female with recurrent episodes of acute otitis media and foul-smelling yellowish discharge with hearing loss. Imaging revealed multiple abscesses. Intraoperatively, samples were taken from the abscesses and sent for complete analysis revealing a tuberculous infection. A diagnosis of primary Mycobacterium tuberculosis (MTB) otomastoiditis was made using MTB polymerase chain reaction from the Bezold\u2019s abscess. The patient was started on anti-MTB therapy. Follow-up imaging showed resolution of abscesses and otomastoiditis. An indolent course of otitis media along with poor response to conventional antibiotics regimen should raise the suspicion of rare and unusual infectious etiologies.<\/jats:p>","DOI":"10.1093\/jscr\/rjad176","type":"journal-article","created":{"date-parts":[[2023,4,25]],"date-time":"2023-04-25T01:22:56Z","timestamp":1682385776000},"source":"Crossref","is-referenced-by-count":3,"title":["Primary tuberculous otomastoiditis complicated with Bezold\u2019s, postauricular, and subdural abscesses: a case report and review of the literature"],"prefix":"10.1093","volume":"2023","author":[{"given":"Nawaf","family":"Aljehani","sequence":"first","affiliation":[{"name":"College of Medicine, King Saud bin Abdulaziz University for Health Sciences , Riyadh , Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdulazeez","family":"Alzailaie","sequence":"additional","affiliation":[{"name":"College of Medicine, King Saud bin Abdulaziz University for Health Sciences , Riyadh , Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jihad","family":"Nassar","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, King Abdulaziz Medical City, Ministry of National Guard Health Affairs , Riyadh , Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,4,22]]},"reference":[{"key":"2023042501224645000_ref1","doi-asserted-by":"crossref","first-page":"759","DOI":"10.1016\/j.otohns.2003.12.021","article-title":"Tuberculous otitis media: a significant diagnostic challenge","volume":"130","author":"Vaamonde","year":"2004","journal-title":"Otolaryngol Head Neck Surg"},{"key":"2023042501224645000_ref2","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1590\/S0034-72992008000400023","article-title":"Tuberculose de orelha, doen\u00e7a profissional?","volume":"74","author":"Sens","year":"2008","journal-title":"Rev Bras Otorrinolaringol"},{"key":"2023042501224645000_ref3","first-page":"174","article-title":"Aural tuberculosis","volume":"11","author":"Ma","year":"1990","journal-title":"Am J Otol"},{"key":"2023042501224645000_ref4","first-page":"672","article-title":"Treatment of essential palatal myoclonus in a 10-year-old girl with botulinum neurotoxin: temporal bone histopathology and clinical extrapolation","volume":"27","author":"Krause","year":"2006","journal-title":"Otol Neurotol"},{"key":"2023042501224645000_ref5","doi-asserted-by":"crossref","first-page":"1491","DOI":"10.2214\/ajr.171.6.9843276","article-title":"Imaging of Bezold\u2019s abscess","volume":"171","author":"Castillo","journal-title":"AJR Am J Roentgenol"},{"key":"2023042501224645000_ref6","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1055\/s-0029-1196026","article-title":"Ein neuer Weg f\u00fcr Ausbreitung eitriger Entz\u00fcndung aus den R\u00e4umen des Mittelohrs auf die Nachbarschaft und die in diesem Falle einzuschlagende Therapie","volume":"7","author":"Bezold","year":"1881","journal-title":"Dtsch Med Wochenschr"},{"key":"2023042501224645000_ref7","doi-asserted-by":"crossref","first-page":"bcr-2017-222482","DOI":"10.1136\/bcr-2017-222482","article-title":"Atypical presentation of aural tuberculosis with complication","volume":"2018","author":"Singh","year":"2018","journal-title":"BMJ Case Rep"},{"key":"2023042501224645000_ref8","first-page":"44","article-title":"Primary middle ear tuberculosis mimicking cholesteatoma","volume":"15","author":"Aziz","year":"2020","journal-title":"Malays Fam Physician"},{"key":"2023042501224645000_ref9","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1258\/rsmacta.41.1.49","article-title":"CT findings in tuberculous otomastoiditis. A case report","volume":"41","author":"Cavallin","year":"2000","journal-title":"Acta Radiol"},{"key":"2023042501224645000_ref10","doi-asserted-by":"crossref","first-page":"1560","DOI":"10.1007\/s00330-008-1130-7","article-title":"Bilateral tuberculous otomastoiditis in an immmunocompetent 5-year-old child: CT and MRI findings (2009: 3b)","volume":"19","author":"Munoz","year":"2009","journal-title":"Eur Radiol"},{"key":"2023042501224645000_ref11","doi-asserted-by":"crossref","first-page":"S208","DOI":"10.1016\/j.ijmyco.2016.09.055","article-title":"Comparison of histopathology, acid fast bacillus smear and real-time polymerase chain reaction for detection of Mycobacterium tuberculosis in anal fistula in 161 patients: a prospective controlled trial","volume":"5","author":"Garg","year":"2016","journal-title":"Int J Mycobacteriol"},{"key":"2023042501224645000_ref12","first-page":"413","article-title":"Tuberculous otitis media","volume":"7","author":"Araujo","year":"2011","journal-title":"J Int Adv Otol"},{"key":"2023042501224645000_ref13","doi-asserted-by":"crossref","first-page":"219","DOI":"10.5152\/iao.2016.2097","article-title":"Chronic tuberculous otomastoiditis: a case report","volume":"12","author":"Bruschini","year":"2016","journal-title":"J Int Adv Otol"},{"key":"2023042501224645000_ref14","doi-asserted-by":"crossref","first-page":"rjz093","DOI":"10.1093\/jscr\/rjz093","article-title":"A rare presentation of a paediatric patient with acute otomastoiditis media caused by Mycobacterium tuberculosis resulting in intracranial complications","volume":"2019","author":"Jayakody","year":"2019","journal-title":"J Surg Case Rep"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2023\/4\/rjad176\/50066367\/rjad176.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2023\/4\/rjad176\/50066367\/rjad176.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,25]],"date-time":"2023-04-25T01:23:05Z","timestamp":1682385785000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjad176\/7136613"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,1]]},"references-count":14,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,4,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjad176","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,4]]},"published":{"date-parts":[[2023,4,1]]},"article-number":"rjad176"}}