Unilateral hearing loss: case report on the insidious consequence of nasopharyngeal tuberculosis

Zainal Abidin, Muhammad Hosni and Abdul Wahab, Azwan Halim (2023) Unilateral hearing loss: case report on the insidious consequence of nasopharyngeal tuberculosis. The Egyptian Journal of Otolaryngology. pp. 1-4. ISSN 1012-5574 E-ISSN 2090-8539

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Abstract

Background: Nasopharyngeal tuberculosis constitutes 1% of the head and neck manifestation of extra-pulmonary tuberculosis. The rarity of the disease along with its non-specific presentation may pose a challenge in diagnosis. Case presentation: We present a case of a 33-year-old patient who presented with a gradual onset of unilateral hearing loss. Endoscopic examination revealed leukoplakic lesions over the bilateral torus tubarius with audiological assessment revealing a mixed hearing loss in the left ear. Patient completed a 6-month course of anti-tuberculous therapy with a complete resolution of nasopharyngeal lesions and hearing loss. Conclusion: We hypothesize that tuberculosis of the nasopharynx may not only lead to impaired middle ear ventilation but also damage to the ossicular chain and inner ear structures.

Item Type:	Article (Case Report)
Uncontrolled Keywords:	Tuberculosis, Extrapulmonary, Hearing loss, Unilateral, Hearing loss, Mixed conductive-sensorineural, Nasopharynx
Subjects:	R Medicine > RF Otorhinolaryngology
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Otolaryngology - Head and Neck Surgery
Depositing User:	DR MUHAMMAD HOSNI ZAINAL ABIDIN
Date Deposited:	05 Mar 2024 17:57
Last Modified:	05 Mar 2024 18:04
URI:	http://irep.iium.edu.my/id/eprint/111083

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