Bilateral tuberculous mastoiditis and facial palsy
| dc.contributor.author | Pitcher, Richard | |
| dc.contributor.author | Thandar, Mohammed A | |
| dc.date.accessioned | 2018-02-09T14:10:54Z | |
| dc.date.available | 2018-02-09T14:10:54Z | |
| dc.date.issued | 2004 | |
| dc.date.updated | 2016-01-18T08:43:06Z | |
| dc.description.abstract | This case, only the second of bilateral facial palsy in the literature,1 underscores the tragedy of a fragmented social infrastructure and health care system where multiple factors conspire to ensure an increasing prevalence of tuberculosis (TB). The patient was first seen at Red Cross Children’s Hospital in September 2001, aged 3 years and 2 months. He was living with his unemployed single-parent mother in an informal settlement. He had bilateral suppurative submandibular lymphadenitis, requiring incision and drainage. Two weeks after discharge, pus swabs revealed a positive culture for Mycobacterium tuberculosis. The local TB clinic was notified, but his mother could not be contacted, having relocated to central Cape Town where she had obtained temporary employment. In March 2002 he was seen at Somerset Hospital, Cape Town, with a suppurative discharge from both ears. Pus swabs again cultured M. tuberculosis. Attempts at contact via the local TB clinic faced the same problems as previously and the follow-up outpatient appointment was not kept. The third contact with the health care system was in May 2002, when his aunt, who had taken over his care, brought him to Red Cross Hospital. He had bilateral profuse suppurative discharges from his ears, discharging neck sinuses, facial palsies, profound conduction deafness, microcytic anaemia and kwashiorkor. There was no evidence of exposure to HIV. Pus swabs from the ears and neck yielded mixed bacterial and M. tuberculosis culture. Computed tomography (CT) of the temporal bones demonstrated extensive destruction of the mastoid bone and ossicular chain bilaterally, consistent with tuberculous mastoiditis (Fig. 1). | |
| dc.identifier.apacitation | Pitcher, R., & Thandar, M. A. (2004). Bilateral tuberculous mastoiditis and facial palsy. <i>South African Medical Journal</i>, http://hdl.handle.net/11427/27498 | en_ZA |
| dc.identifier.chicagocitation | Pitcher, Richard, and Mohammed A Thandar "Bilateral tuberculous mastoiditis and facial palsy." <i>South African Medical Journal</i> (2004) http://hdl.handle.net/11427/27498 | en_ZA |
| dc.identifier.citation | Pitcher, R., & Thandar, M. A. (2004). Bilateral tuberculous mastoiditis and facial palsy: clinical images: SAMJ forum. South African Medical Journal, 94(11), p-893. | |
| dc.identifier.ris | TY - Journal Article AU - Pitcher, Richard AU - Thandar, Mohammed A AB - This case, only the second of bilateral facial palsy in the literature,1 underscores the tragedy of a fragmented social infrastructure and health care system where multiple factors conspire to ensure an increasing prevalence of tuberculosis (TB). The patient was first seen at Red Cross Children’s Hospital in September 2001, aged 3 years and 2 months. He was living with his unemployed single-parent mother in an informal settlement. He had bilateral suppurative submandibular lymphadenitis, requiring incision and drainage. Two weeks after discharge, pus swabs revealed a positive culture for Mycobacterium tuberculosis. The local TB clinic was notified, but his mother could not be contacted, having relocated to central Cape Town where she had obtained temporary employment. In March 2002 he was seen at Somerset Hospital, Cape Town, with a suppurative discharge from both ears. Pus swabs again cultured M. tuberculosis. Attempts at contact via the local TB clinic faced the same problems as previously and the follow-up outpatient appointment was not kept. The third contact with the health care system was in May 2002, when his aunt, who had taken over his care, brought him to Red Cross Hospital. He had bilateral profuse suppurative discharges from his ears, discharging neck sinuses, facial palsies, profound conduction deafness, microcytic anaemia and kwashiorkor. There was no evidence of exposure to HIV. Pus swabs from the ears and neck yielded mixed bacterial and M. tuberculosis culture. Computed tomography (CT) of the temporal bones demonstrated extensive destruction of the mastoid bone and ossicular chain bilaterally, consistent with tuberculous mastoiditis (Fig. 1). DA - 2004 DB - OpenUCT DP - University of Cape Town J1 - South African Medical Journal LK - https://open.uct.ac.za PB - University of Cape Town PY - 2004 T1 - Bilateral tuberculous mastoiditis and facial palsy TI - Bilateral tuberculous mastoiditis and facial palsy UR - http://hdl.handle.net/11427/27498 ER - | en_ZA |
| dc.identifier.uri | http://hdl.handle.net/11427/27498 | |
| dc.identifier.vancouvercitation | Pitcher R, Thandar MA. Bilateral tuberculous mastoiditis and facial palsy. South African Medical Journal. 2004; http://hdl.handle.net/11427/27498. | en_ZA |
| dc.language.iso | eng | |
| dc.publisher.department | Department of Medicine | en_ZA |
| dc.publisher.faculty | Faculty of Health Sciences | en_ZA |
| dc.publisher.institution | University of Cape Town | |
| dc.source | South African Medical Journal | |
| dc.source.uri | http://www.samj.org.za | |
| dc.title | Bilateral tuberculous mastoiditis and facial palsy | |
| dc.type | Journal Article | |
| uct.type.filetype | Text | |
| uct.type.filetype | Image |