Abstract

Tuberculous otitis media (TOM) is a rare form of extrapulmonary tuberculosis that can lead to severe complications if not promptly diagnosed. This case report describes a 25-yearold female with bilateral ear discharge and hearing loss, initially misdiagnosed as bilateral suppurative otitis media. Following ineffective antibiotic treatment, imaging revealed chronic destructive changes, leading to a biopsy that confirmed TOM. Further investigations identified pulmonary tuberculosis, and the patient was started on anti-tuberculosis therapy. At a six-month follow-up, her symptoms had resolved, and hearing improved. This case underscores the need to consider TOM in chronic otitis media cases, particularly in highprevalence areas. The nonspecific clinical presentation of TOM often mimics more common conditions, making early detection essential to prevent complications. A multidisciplinary approach comining medical and surgical strategies is crucial for effective management. Increased awareness among healthcare providers is necessary to ensure timely intervention and improved outcomes for patients with TOM.

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