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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.
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