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Case Reports
. 2020 Dec 9;13(12):e237606.
doi: 10.1136/bcr-2020-237606.

Tuberculous mastoiditis in a 2-month-old infant presenting with facial nerve palsy

David McMaster  1 , Waqas Bm Din  2 , Babu Ramalingaiah  3 , Shailesh Agrawal  2
Affiliations
Case Reports

Tuberculous mastoiditis in a 2-month-old infant presenting with facial nerve palsy

David McMaster et al. BMJ Case Rep. .

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.

Keywords: Infectious diseases; TB and other respiratory infections; ear; nose and throat/otolaryngology; paediatrics.

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Conflict of interest statement

Competing interests: None declared.

References

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