|A.||Tubercular Otitis Media|
Syphilitic Otitis Media
Fungal Otitis Media
Answer. A. Tubercular Otitis Media
Tuberculous Otitis Media Where perforations are multiple and are associated with otorrhea, a tuberculosis of the middle ear should be suspected.
These perforations result from breaking down of tubercles.
- In the given image, Tympanic membrane showing multiple perforations
Infection reaches the middle ear through eustachian tube.
The rare modes of infection are through hematogenous spread from tubercular focus in lung, tonsils, cervical lymph nodes; or due to ingestion of infected cow’s milk.
It usually affects children and young adults.