Service des urgences pédiatriques, Faculté de Médecine et de Pharmacie de Fès, Université Sidi Mohamed-Ben-Abdellah, Hôpital Mère-Enfant, CHU Hassan II de Fès, km 2,200 Route Sidi-Hrazem, BP 1893, 30000 Fès, Morocco
Although Morocco remains an endemic country for tuberculosis; except that auricular tuberculosis remains a rare clinical form.
The clinical picture is not specific; it is that of a banal chronic otitis and bacteriological examinations are often negative; which delays diagnosis and early treatment.
We report the case of a two-month-old infant; who presented for acute purulent otitis media under antipyogenic antibiotic treatment without improvement and whose bacteriological study of the pus objectified the presence of Koch’s bacilli; with the spread of tuberculosis; the discovery of multifocal tuberculosis (pulmonary; lymph node, etc.). The clinical course under ant bacillary treatment was favorable.