Otopathology of Pediatric Acute Tuberculous Meningitis-Case Series.
Natalia Carasek, Lucas Alves Teixeira Oliveira, MengYu Zhu et al.
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Case in brief
This case series presents three temporal bones from infants who succumbed to acute tuberculous meningitis (TBM). Pathological examination revealed significant inner ear damage, including cochlear fibrosis, atrophy of the organ of Corti, and neuronal loss, alongside a notable presence of pus cells in the internal auditory canal. The findings suggest potential pathways for TBM dissemination to the inner ear.
Diagnostic / clinical pearl
Clinicians should be aware that tuberculous meningitis can lead to significant inner ear pathology, potentially resulting in sensorineural hearing loss.
Why it matters
Understanding the otopathology associated with TBM can aid in recognizing the complications of this severe infection and inform management strategies for affected patients.