Bilateral chronic otitis media and CSF otorrhea; the only presenting feature of Wegener's granulomatosis

Abstract

Wegener's Granulomatosis (WG) is an autoimmune disease. The lungs, kidneys and upper respiratory organs are major sites of organ involvement. Although nose, ear and throat involvement can be observed in most of cases during the natural course, their individual involvement is quite rare. A case with bilateral refractory chronic otitis media and spontaneous CSF fistula that was diagnosed as WG is presented.