Otomastoidite da Mycobacterium avium: Descrizione di un caso

Translated title of the contribution: Otomastoiditis caused by Mycobacterium avium: A case report

F. Ticca, D. Comparcola, M. C. Graziani, L. Lancella, P. Marsella, L. Nicolosi, V. Pierro, M. R. Rivosecchi, C. Ticca, L. Tieri

Research output: Contribution to journalArticle

Abstract

Non tuberculous Micobacterial (NTM) Infections mainly affect immunocompromised patients, appearing as disseminated or pulmonary disease. In immunocompetent children the most common form of infection with NTM is cervical adenitis. Ear infection seems to be a rare disease. We present a case of otomastoiditis caused by Mycobacterium avium in a 15 months old child, immunologically normal. Patient was referred for persistent right otitis unresponsive to routine medical therapy. TC scan of the ear and temporal bones revealed: soft tissue in external auditory canal, Eustachian canal, and middle ear overlying ossicles with erosion of tegmen timpani. Tuberculin skin test was positive with 5 units PPD and culture yielded M. avium. The patient undergo timpanomastoidectomy and medical therapy with antituberculous drugs and Steroids, subsequently he was given Clarithromycin and Rifabutin. M. avium is an ubiquitous low grade pathogen found in soil, water, dust and food. There is no evidence of direct transmission. Only a few cases of otomastoiditis due to M. avium have previously been reported. The case presented underlines the importance of microbiological investigations. When a NTM infection is suspected surgeons and infectious diseases specialists should cooperate to find an optimal treatment regimen of this unusual disease.

Original languageItalian
Pages (from-to)114-117
Number of pages4
JournalInfezioni in Medicina
Volume5
Issue number2
Publication statusPublished - 1997

Fingerprint

Mycobacterium avium
Infection
Ear
Ear Ossicles
Rifabutin
Otitis
Lymphadenitis
Tuberculin Test
Ear Canal
Clarithromycin
Temporal Bone
Tuberculin
Immunocompromised Host
Middle Ear
Rare Diseases
Skin Tests
Dust
Lung Diseases
Communicable Diseases
Soil

ASJC Scopus subject areas

  • Microbiology (medical)

Cite this

Ticca, F., Comparcola, D., Graziani, M. C., Lancella, L., Marsella, P., Nicolosi, L., ... Tieri, L. (1997). Otomastoidite da Mycobacterium avium: Descrizione di un caso. Infezioni in Medicina, 5(2), 114-117.

Otomastoidite da Mycobacterium avium : Descrizione di un caso. / Ticca, F.; Comparcola, D.; Graziani, M. C.; Lancella, L.; Marsella, P.; Nicolosi, L.; Pierro, V.; Rivosecchi, M. R.; Ticca, C.; Tieri, L.

In: Infezioni in Medicina, Vol. 5, No. 2, 1997, p. 114-117.

Research output: Contribution to journalArticle

Ticca, F, Comparcola, D, Graziani, MC, Lancella, L, Marsella, P, Nicolosi, L, Pierro, V, Rivosecchi, MR, Ticca, C & Tieri, L 1997, 'Otomastoidite da Mycobacterium avium: Descrizione di un caso', Infezioni in Medicina, vol. 5, no. 2, pp. 114-117.
Ticca F, Comparcola D, Graziani MC, Lancella L, Marsella P, Nicolosi L et al. Otomastoidite da Mycobacterium avium: Descrizione di un caso. Infezioni in Medicina. 1997;5(2):114-117.
Ticca, F. ; Comparcola, D. ; Graziani, M. C. ; Lancella, L. ; Marsella, P. ; Nicolosi, L. ; Pierro, V. ; Rivosecchi, M. R. ; Ticca, C. ; Tieri, L. / Otomastoidite da Mycobacterium avium : Descrizione di un caso. In: Infezioni in Medicina. 1997 ; Vol. 5, No. 2. pp. 114-117.
@article{c92e2a7996e244f38d8e4df374070491,
title = "Otomastoidite da Mycobacterium avium: Descrizione di un caso",
abstract = "Non tuberculous Micobacterial (NTM) Infections mainly affect immunocompromised patients, appearing as disseminated or pulmonary disease. In immunocompetent children the most common form of infection with NTM is cervical adenitis. Ear infection seems to be a rare disease. We present a case of otomastoiditis caused by Mycobacterium avium in a 15 months old child, immunologically normal. Patient was referred for persistent right otitis unresponsive to routine medical therapy. TC scan of the ear and temporal bones revealed: soft tissue in external auditory canal, Eustachian canal, and middle ear overlying ossicles with erosion of tegmen timpani. Tuberculin skin test was positive with 5 units PPD and culture yielded M. avium. The patient undergo timpanomastoidectomy and medical therapy with antituberculous drugs and Steroids, subsequently he was given Clarithromycin and Rifabutin. M. avium is an ubiquitous low grade pathogen found in soil, water, dust and food. There is no evidence of direct transmission. Only a few cases of otomastoiditis due to M. avium have previously been reported. The case presented underlines the importance of microbiological investigations. When a NTM infection is suspected surgeons and infectious diseases specialists should cooperate to find an optimal treatment regimen of this unusual disease.",
keywords = "AIDS, Mycobacterium avium, Otomastoiditis",
author = "F. Ticca and D. Comparcola and Graziani, {M. C.} and L. Lancella and P. Marsella and L. Nicolosi and V. Pierro and Rivosecchi, {M. R.} and C. Ticca and L. Tieri",
year = "1997",
language = "Italian",
volume = "5",
pages = "114--117",
journal = "Infezioni in Medicina",
issn = "1124-9390",
publisher = "EDIMES Edizioni Medico Scientifiche",
number = "2",

}

TY - JOUR

T1 - Otomastoidite da Mycobacterium avium

T2 - Descrizione di un caso

AU - Ticca, F.

AU - Comparcola, D.

AU - Graziani, M. C.

AU - Lancella, L.

AU - Marsella, P.

AU - Nicolosi, L.

AU - Pierro, V.

AU - Rivosecchi, M. R.

AU - Ticca, C.

AU - Tieri, L.

PY - 1997

Y1 - 1997

N2 - Non tuberculous Micobacterial (NTM) Infections mainly affect immunocompromised patients, appearing as disseminated or pulmonary disease. In immunocompetent children the most common form of infection with NTM is cervical adenitis. Ear infection seems to be a rare disease. We present a case of otomastoiditis caused by Mycobacterium avium in a 15 months old child, immunologically normal. Patient was referred for persistent right otitis unresponsive to routine medical therapy. TC scan of the ear and temporal bones revealed: soft tissue in external auditory canal, Eustachian canal, and middle ear overlying ossicles with erosion of tegmen timpani. Tuberculin skin test was positive with 5 units PPD and culture yielded M. avium. The patient undergo timpanomastoidectomy and medical therapy with antituberculous drugs and Steroids, subsequently he was given Clarithromycin and Rifabutin. M. avium is an ubiquitous low grade pathogen found in soil, water, dust and food. There is no evidence of direct transmission. Only a few cases of otomastoiditis due to M. avium have previously been reported. The case presented underlines the importance of microbiological investigations. When a NTM infection is suspected surgeons and infectious diseases specialists should cooperate to find an optimal treatment regimen of this unusual disease.

AB - Non tuberculous Micobacterial (NTM) Infections mainly affect immunocompromised patients, appearing as disseminated or pulmonary disease. In immunocompetent children the most common form of infection with NTM is cervical adenitis. Ear infection seems to be a rare disease. We present a case of otomastoiditis caused by Mycobacterium avium in a 15 months old child, immunologically normal. Patient was referred for persistent right otitis unresponsive to routine medical therapy. TC scan of the ear and temporal bones revealed: soft tissue in external auditory canal, Eustachian canal, and middle ear overlying ossicles with erosion of tegmen timpani. Tuberculin skin test was positive with 5 units PPD and culture yielded M. avium. The patient undergo timpanomastoidectomy and medical therapy with antituberculous drugs and Steroids, subsequently he was given Clarithromycin and Rifabutin. M. avium is an ubiquitous low grade pathogen found in soil, water, dust and food. There is no evidence of direct transmission. Only a few cases of otomastoiditis due to M. avium have previously been reported. The case presented underlines the importance of microbiological investigations. When a NTM infection is suspected surgeons and infectious diseases specialists should cooperate to find an optimal treatment regimen of this unusual disease.

KW - AIDS

KW - Mycobacterium avium

KW - Otomastoiditis

UR - http://www.scopus.com/inward/record.url?scp=0030802413&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030802413&partnerID=8YFLogxK

M3 - Articolo

C2 - 14966398

AN - SCOPUS:0030802413

VL - 5

SP - 114

EP - 117

JO - Infezioni in Medicina

JF - Infezioni in Medicina

SN - 1124-9390

IS - 2

ER -