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종결 Case No. 603 2021-10-01~2021-10-31
출제자 : 류경화 Hit : 339
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Period 2021-10-01~2021-10-31
Diagnosis Tuberculous otomastoiditis
Gender
  • M
  •  
  • F
Age 35
Clinical information 35Y/M
3개월 전부터 우측 화농성 이루와 청력 감소가 있음.
진단은?
Discussion Tuberculous otomastoiditis
• A rare cause of chronic suppurative otomastoiditis
• Pathogenesis
-Aspiration of mucus through the eustachian tube
-Hematogenous dissemination from other tuberculosis foci
-Direct implantation through the EAC and a tympanic membrane perforation
• CT finding
-Soft tissue in the entire middle ear cavity
-Preservation of mastoid air cells without sclerotic change
-Soft tissue extension or mucosal thickening of the EAC with intact scutum
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