# A case report on a rare case of primary tuberculous otitis media

## TL;DR

This paper reports a rare case of ear tuberculosis, highlighting its uncommon symptoms and the importance of timely diagnosis to avoid complications.

## Contribution

The novelty lies in presenting a rare clinical case of primary tuberculous otitis media and emphasizing its diagnostic challenges.

## Key findings

- Tuberculous otitis media can present with otorrhoea, hearing loss, and multiple tympanic membrane perforations.
- Delayed diagnosis may lead to mismanagement, as the condition is often overlooked in favor of more common infections.
- Prompt diagnosis and treatment can lead to complete recovery.

## Abstract

Although tuberculosis has become more common in recent years, it still accounts for just a small percentage of cases of chronic otitis media. Common symptoms of tuberculous otitis media (TOM) include otorrhoea, hearing loss, and multiple tympanic membrane perforations. Due to its rarity, the illness is frequently misdiagnosed. When a patient does not improve with standard antibacterial and antifungal treatment, this may be a possible diagnosis to explore. Complete healing is possible if the illness is diagnosed and treated timely to prevent consequences.