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BMJ Case Rep ; 13(12)2020 Dec 09.
Article in English | MEDLINE | ID: mdl-33298491

ABSTRACT

We present a rare case of tuberculous mastoiditis in a 2-month-old infant. The patient presented with facial nerve palsy, fever and otorrhoea and was subsequently confirmed to have a Mycobacterium tuberculosis infection. Mastoiditis was confirmed with a CT scan of the head, and gastric aspirate analysis with the Xpert MTB/RIF assay (Cepheid, USA) rapidly confirmed tuberculosis (TB), allowing prompt initiation of anti-TB therapy. The patient is now recovering, with the initial facial nerve palsy resolved.


Subject(s)
Facial Paralysis/etiology , Mastoiditis/diagnosis , Mycobacterium tuberculosis/isolation & purification , Tuberculosis/diagnosis , Antibiotics, Antitubercular/therapeutic use , Humans , Infant , Mastoiditis/microbiology , Tuberculosis/drug therapy
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