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Diagnosis of concurrent pulmonary tuberculosis and tuberculous otitis media confirmed by Xpert MTB/RIF in the United States

Infectious Diseases in Clinical Practice, ISSN: 1536-9943, Vol: 24, Issue: 3, Page: 180-182
2016
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Article Description

Tuberculosis (TB) remains an important cause of infectious morbidity in the United States, necessitating timely and accurate diagnosis. We report a case of concurrent pulmonary and extrapulmonary TB presenting as tuberculous otitis media in a hospitalized US patient admitted with cough, night sweats, and unilateral purulent otorrhea. Diagnosis was made by smear microscopy and rapidly confirmed by Xpert MTB/RIF - a novel, automated nucleic acid amplification test for the rapid detection of drug-susceptible and drug-resistant TB. This case adds to the growing body of evidence validating Xpert MTB/RIF as an effective tool for the rapid diagnosis of extrapulmonary TB, even in low-TB prevalence settings such as the United States, when testing is performed on nonrespiratory specimens.

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