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September 1988

Diagnosis of Miliary Tuberculosis by Examination of Middle Ear Discharge

Author Affiliations

From the St Luke's–Roosevelt Hospital Center and Columbia University, College of Physicians and Surgeons, New York.

Arch Otolaryngol Head Neck Surg. 1988;114(9):1029-1030. doi:10.1001/archotol.1988.01860210095024

• Extrapulmonary foci of tuberculosis appear more frequently than in previous years, while the incidence of tuberculous otitis, a neglected and often difficult to diagnose entity, is unknown. We describe a case of an adult with miliary tuberculosis not initially suspected on clinical criteria, in whom the diagnosis of miliary tuberculosis was made by inspection of a modified Kinyoun stain of occult ear discharge. The significance and diagnostic problems associated with tuberculous otitis are briefly reviewed.

(Arch Otolaryngol Head Neck Surg 1988;114:1029-1030)