Development of Attic Cholesteatoma in Acute Otitis Media with Tuberculosis

Generoso T. Abes,1 Franco Louie LB Abes2 and Teresa Luisa G. Cruz1

1Department of Otorhinolaryngology, College of Medicine and
Philippine General Hospital, University of the Philippines Manila
2College of Medicine, University of Santo Tomas

Literature has reported the existence of cholesteatoma in chronic suppurative otitis media with tuberculosis. This report demonstrates that a cholesteatoma can be associated with an acute otitis media with tuberculosis. The importance of a high index of suspicion for tuberculous otitis media and its consequent meticulous management including diagnostic tests, medical and surgical procedures and monitoring are discussed.

Key Words: tuberculous otitis media, TB and cholesteatoma, tuberculosis of the ear