Clinical Presentation and Diagnosis of Tuberculosis
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This patient was referred to the tuberculosis clinic with the question of otitis media. There was no otitis. The patient had lost weight and had signs and symptoms of systemic illness. The pre-auricular lesion was cold to the touch and was apparently fluctuating. The abscess was aspirated. A Gram stain showed no organisms and careful examination of a Ziehl-Neelsen stained smear revealed acid-fast bacilli.
