“Unlocking the mysteries of tuberculous otitis media: Confronting unseen challenges”—A case report

Tuberculosis (TB) remains a significant public health concern in India, with pulmonary TB being predominant. However, Tubercular Otomastoiditis (TOM) poses a unique challenge due to its rarity and diagnostic complexities. Here, we present a case of a 12-year-old male with TOM, emphasizing the need for heightened awareness among clinicians. The patient exhibited a preauricular swelling, cervical lymphadenopathy, and facial nerve function intact, challenging the classic presentation. Imaging and GeneXpert testing confirmed tuberculous involvement. Prompt initiation of antitubercular therapy led to symptom improvement. TOM diagnosis requires a high index of suspicion, histopathological examination, and advanced imaging. Treatment entails antitubercular chemotherapy, highlighting the importance of early detection and tailored management to prevent complications.