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South African Journal of Surgery
On-line version ISSN 2078-5151Print version ISSN 0038-2361
Abstract
SUTTLE, TK; ELS, T and BUTLER, I. Tuberculous mastoiditis - a case series. S. Afr. j. surg. [online]. 2024, vol.62, n.1, pp.80-82. ISSN 2078-5151. https://doi.org/10.36303/SAJS.00205.
Tuberculous mastoiditis (TBM) is a rare form of extrapulmonary tuberculosis (TB), which may result in catastrophic complications, including mastoid and ossicle destruction, hearing loss and intracranial spread if untreated. Diagnosis is challenging due to the paucibacillary nature of extrapulmonary TB, compounded by limited theatre access for specimen retrieval, resulting in delayed diagnosis and treatment initiation. In this case series, we discuss three cases of TBM (one paediatric and two adults) who presented to the public and private healthcare sectors in the Eastern Cape in 2022, underscoring that TB does not respect socioeconomic status.
Keywords : tuberculous mastoiditis; South Africa; extrapulmonary tuberculosis.