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Hasnaoui M, Chebil A, Masmoudi M, Ben Hammouda S, Jebahi S, Mighri K. Tongue Ulceration as a First Symptom of Pulmonary Tuberculosis: A Case Report. EAR, NOSE & THROAT JOURNAL 2024:1455613241271688. [PMID: 39185816 DOI: 10.1177/01455613241271688] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/27/2024] Open
Abstract
Since the introduction of effective chemotherapy, the development of new diagnostic tools, and raising public awareness of the devastating health, social, and economic consequences of tuberculosis (TB), the frequency of this disease has decreased. Pulmonary TB is the most common form of the disease, but TB bacilli can spread to other organs including lymph nodes, and the oral cavity especially the tongue with very unusual features. Oral lesions, although rare, are very important for early diagnosis and interception of primary TB. The bacteriological and histopathological results are important to confirm the diagnosis. Oral TB lesions may be either primary or secondary. The evolution is generally good under a medical treatment. A 35-year-old patient was admitted to our department for an ulcerous tumor in the lateral border of his tongue. The biopsy of the ulceration confirmed the diagnosis of TB. A concomitant pulmonary localization has been found. This case report aims to attract the attention of TB, which can be located in some uncommon regions, and have unusual clinical presentations.
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Affiliation(s)
- Mehdi Hasnaoui
- Department of Otolaryngology-Head and Neck Surgery, Tahar Sfar University Hospital, Mahdia, Tunisia
- Faculty of Medicine of Monastir, University of Monastir, Monastir, Tunisia
| | - Azer Chebil
- Department of Otolaryngology-Head and Neck Surgery, Tahar Sfar University Hospital, Mahdia, Tunisia
- Faculty of Medicine of Monastir, University of Monastir, Monastir, Tunisia
| | - Mohamed Masmoudi
- Department of Otolaryngology-Head and Neck Surgery, Tahar Sfar University Hospital, Mahdia, Tunisia
- Faculty of Medicine of Monastir, University of Monastir, Monastir, Tunisia
| | - Seifeddine Ben Hammouda
- Faculty of Medicine of Monastir, University of Monastir, Monastir, Tunisia
- Department of Cytopathology, Fattouma Bourguiba University Hospital, Monastir, Tunisia
| | - Sameh Jebahi
- Department of Otolaryngology-Head and Neck Surgery, Tahar Sfar University Hospital, Mahdia, Tunisia
- Faculty of Medicine of Monastir, University of Monastir, Monastir, Tunisia
| | - Khalifa Mighri
- Department of Otolaryngology-Head and Neck Surgery, Tahar Sfar University Hospital, Mahdia, Tunisia
- Faculty of Medicine of Monastir, University of Monastir, Monastir, Tunisia
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2
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Sheereen S, Manva MZ, Sheereen S, Patil NN. Exploring the Oral Manifestations of Tuberculosis: A Comprehensive Analysis of Prevalence and Clinicopathological Characteristics of Oral Lesions. Int J Mycobacteriol 2024; 13:53-57. [PMID: 38771280 DOI: 10.4103/ijmy.ijmy_224_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2023] [Accepted: 03/01/2024] [Indexed: 05/22/2024] Open
Abstract
BACKGROUND The study aimed to report all cases of oral tuberculosis (TB), a rare manifestation of the fatal infectious disease primarily affecting the pulmonary system. The report also evaluated the clinicopathological characteristics of oral TB lesions. METHODS A total of 25 patients who presented with oral lesions between August 2013 and August 2023 were diagnosed with TB through surgical biopsy despite having no prior history of the disease. Their clinical symptoms, auxiliary examinations, treatments, and outcomes were recorded and analyzed for further study. RESULTS In a study of 25 patients with oral TB, all patients were found to have the disease, with 16 males and 9 females affected. The gender distribution was skewed toward males, with a 1.77 male-to-female ratio. Twelve cases of the affected sites were reported in the mandible, six cases in the buccal mucosa, four in the lips, two in the gingiva, and one in the tongue. The age range of affected patients was 0-70 years old, and all lesions were indicative of primary TB. The appearance of the affected mucosa varied, with ulceration and swelling being the most common manifestations. CONCLUSION Patients who present with oral ulcerations and swellings should be evaluated for the possibility of TB. To confirm and differentiate this condition from other diseases, obtaining a biopsy specimen for histological analysis and performing acid-fast stains and cultures is recommended. These tests will enable a precise diagnosis and guide appropriate treatment.
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Affiliation(s)
- Shazima Sheereen
- Department of Pathology, Kasturba Medical College, Manipal Academy of Higher Education, Mangalore, Karnataka, India
| | - Mohnish Zulfikar Manva
- Department of Conservative Dentistry and Endodontics, Cimai Medical Centre, Riyadh, Saudi Arabia
| | - Shamama Sheereen
- Department of Pedodontics and Preventive Dentistry, Maharaj Vinayak Global University, Jaipur, Rajasthan, India
| | - Namrata N Patil
- Department of Oral Pathology and Microbiology, Saraswati Dhanwantari Dental College and Hospital, Post Graduate Research Centre, Parbhani, Maharashtra, India
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Sriram S, Hasan S, Saeed S, Ahmad SA, Panda S. Primary Tuberculosis of Buccal and Labial Mucosa: Literature Review and a Rare Case Report of a Public Health Menace. Case Rep Dent 2023; 2023:6543595. [PMID: 37842328 PMCID: PMC10569891 DOI: 10.1155/2023/6543595] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2023] [Revised: 09/09/2023] [Accepted: 09/22/2023] [Indexed: 10/17/2023] Open
Abstract
Tuberculosis (TB) is a chronic granulomatous infectious disorder, caused by Mycobacterium tuberculosis. Despite the recent advancements in antitubercular therapy (ATT), it remains a global public health concern. TB is a leading infectious cause of global mortality, second only to coronavirus disease 2019 (COVID-19). TB of the oral cavity is an uncommon occurrence and may be classified as a primary and secondary form. The primary tubercular lesions are extremely rare, as the intact oral squamous epithelium resists the entry of tubercle bacilli. The commonest oral TB lesion is solitary ulceration with undermined edges, usually on the tongue, that does not exhibit healing with conservative therapies. Owing to the atypical presentation, the oral TB lesions often go unnoticed during clinical examination; hence, an oral physician should be familiar with the various oral manifestations of TB. A timely diagnosis coupled with interdisciplinary treatment is the key to combat disease dissemination. This manuscript aims to report a rare case of primary tuberculosis of the buccal and labial mucosa in a 43-year-old immunocompetent male patient. Buccal and labial mucosa are the infrequently affected sites for primary oral TB lesions. A detailed literature search carried out on the Google Scholar and PubMed search engines revealed only fifteen case reports and two case series of primary tuberculosis of the buccal mucosa and labial mucosa.
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Affiliation(s)
- Shyamkumar Sriram
- Department of Social and Public Health, Ohio University, Athens, Ohio 45701, USA
| | - Shamimul Hasan
- Department of Oral Medicine and Radiology, Faculty of Dentistry, Jamia Millia Islamia, New Delhi, India
| | - Shazina Saeed
- Amity Institute of Public Health & Hospital Administration, Amity University, UP, Noida, India
| | - Syed Ansar Ahmad
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Jamia Millia Islamia, New Delhi, India
| | - Swagatika Panda
- Department of Oral and Maxillofacial Pathology, Institute of Dental Sciences, Siksha ‘O' Anusandhan University, Bhubaneswar, Odisha, India
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Avazzadeh Z, Hassani H, Agarwal P, Mehrabi S, Ebadi MJ, Dahaghin MS. An optimization method for studying fractional-order tuberculosis disease model via generalized Laguerre polynomials. Soft comput 2023; 27:9519-9531. [PMID: 37287570 PMCID: PMC10131579 DOI: 10.1007/s00500-023-08086-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/20/2023] [Indexed: 06/09/2023]
Abstract
Tuberculosis (TB) is a deadly contagious disease that affects vital organs of the body, especially the lungs. Although the disease is preventable, there are still concerns about its continued spread. Without effective prevention or appropriate treatment, TB infection can be fatal to humans. This paper presents a fractional-order TB disease (FTBD) model to analyze TB dynamics and a new optimization method to solve it. The method is based on the basis functions of generalized Laguerre polynomials (GLPs) and some new operational matrices of derivatives in the Caputo sense. Finding the optimal solution to the FTBD model is reduced to solving a system of nonlinear algebraic equations with the aid of GLPs using the Lagrange multipliers method. A numerical simulation is also carried out to determine the impact of the presented method on the susceptible, exposed, infected without treatment, infected with treatment, and recovered cases in the population.
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Affiliation(s)
- Z. Avazzadeh
- Department of Mathematical Sciences, University of South Africa, Pretoria, Florida South Africa
| | - H. Hassani
- Department of Mathematics, Anand International College of Engineering, Jaipur, 303012 India
| | - P. Agarwal
- Department of Mathematics, Anand International College of Engineering, Jaipur, 303012 India
| | - S. Mehrabi
- Department of Internal Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
| | - M. J. Ebadi
- Department of Mathematics, Chabahar Maritime University, Chabahar, Iran
| | - M. Sh. Dahaghin
- Faculty of Mathematical Sciences, Department of Applied Mathematics, Shahrekord University, Shahrekord, Iran
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Alamoudi WA, Sollecito TP, Stoopler ET, France K. Oral manifestations of anti-neutrophil cytoplasmic antibody-associated vasculitis: an update and narrative review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol 2023; 135:372-384. [PMID: 36639252 DOI: 10.1016/j.oooo.2022.11.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2022] [Revised: 11/17/2022] [Accepted: 11/20/2022] [Indexed: 12/12/2022]
Abstract
Anti-neutrophil cytoplasmic antibody-associated vasculitis (AAV) is a multisystem disorder of small blood vessels subdivided into granulomatosis with polyangiitis (GPA), microscopic polyangiitis (MPA), and eosinophilic granulomatosis with polyangiitis (EGPA). Oral manifestations (OMs) have been reported to include mucosal ulceration, gingival enlargement, alveolar bone necrosis, tooth loss, oro-antral communication, palatal perforation, parotitis, and candidal infection mainly in GPA. They may appear during the course of the disease, as a disease flare-up, or as the presenting sign. These OMs are often nonspecific and can mimic an array of conditions, therefore formulating a differential diagnosis can be challenging. This review updates the OMs of GPA, and, for the first, time includes OMs of other AAVs. It provides recommendations for the overall assessment and the diagnosis and management of all AAV OMs with considerations for treatment coordination. The role of oral health care providers in multidisciplinary care is highlighted.
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Affiliation(s)
- Waleed A Alamoudi
- Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia; UCL Eastman Dental Institute, University College London, London, UK
| | - Thomas P Sollecito
- University of Pennsylvania School of Dental Medicine, Philadelphia, PA, USA
| | - Eric T Stoopler
- University of Pennsylvania School of Dental Medicine, Philadelphia, PA, USA
| | - Katherine France
- University of Pennsylvania School of Dental Medicine, Philadelphia, PA, USA.
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Pina PSS, Lemos CA, de Sousa SCOM. A buccal mucosa ulcer as the first sign of tuberculosis. J Oral Maxillofac Pathol 2022; 26:399-403. [PMID: 36588851 PMCID: PMC9802504 DOI: 10.4103/jomfp.jomfp_443_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2021] [Revised: 02/11/2022] [Accepted: 02/26/2022] [Indexed: 01/03/2023] Open
Abstract
Tuberculosis (TB) is an infectious disease caused mostly by Mycobacterium tuberculosis. Oral lesions caused by this disease are not common, and most of them represent secondary involvement of the initial pulmonary focus. Therefore, the discovery of lung tuberculosis because of the investigation of oral lesions is rare. This paper reports a case of a 61-year-old male patient who presented with a painfully ulcerated lesion in labial commissure and buccal mucosa, without any comorbidities or symptoms associated. An incisional biopsy was performed, and histopathology showed a chronic granulomatous lesion extending to involve the underlying muscle. Based on these findings, investigation for tuberculosis was suggested. Chest radiography displayed excavated macronodular lesions suggestive of an inflammatory-infectious/granulomatous process of bronchogenic dissemination. The search for acid-alcohol-resistant bacillus in sputum was positive. After using drug therapy for tuberculosis for 3 months, there was a total regression of the oral lesions, in addition to weight recovery in the period. Thus, in patients with isolated oral mucosa lesions, we must consider the possibility of oral manifestation of systemic diseases, even without typical clinical signs and symptoms.
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Affiliation(s)
- Paulo S. S. Pina
- Department of Stomatology, Faculty of Dentistry, Universidade de São Paulo (USP), Sao Paulo, SP, Brazil
| | - Celso A. Lemos
- Department of Stomatology, Faculty of Dentistry, Universidade de São Paulo (USP), Sao Paulo, SP, Brazil
| | - Suzana C. O. M. de Sousa
- Department of Stomatology, Faculty of Dentistry, Universidade de São Paulo (USP), Sao Paulo, SP, Brazil
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Sharma H, Dahiphale D, Nagarpurkar A, Pole S, Mishrikotkar P. Tuberculosis of the tongue: A rare case. MGM JOURNAL OF MEDICAL SCIENCES 2022. [DOI: 10.4103/mgmj.mgmj_197_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
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Kulchavenya EV, Myshkova EP, Dementieva EI, Baranchukova AA. Tongue cancer in a patient with pulmonary tuberculosis. Case report. CONSILIUM MEDICUM 2021. [DOI: 10.26442/20751753.2021.12.201288] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Tuberculosis and malignant neoplasms are a global threat, these diseases claim millions of lives and cause tremendous suffering to people worldwide. Tuberculosis can mask cancer and create preconditions for carcinogenesis. The article presents a clinical case of tongue cancer in a patient with pulmonary tuberculosis. Patient B.N., 45 years old, was admitted to the FSBI Novosibirsk Tuberculosis Research Institute with complaints of a "sore place" on the tongue, pain in the right half of the tongue, enlargement of the submandibular lymph nodes on the right The tongue hurts for about 1,5 years, but over the last 2 months, condition has worsened. The patient noticed an increase in the size of lesion on the tongue and increased pain, especially during meals (he can eat only after pain relief, for which he takes Nimesulide 4 pills a day). In recent days, he felt also epigastric pain for which he didnt visit a doctor. Tongue biopsy was performed, and histological analysis revealed cancer. The patient was diagnosed with fibrous-cavernous tuberculosis of the upper lobe of the right lung, infiltration and seeding phase; mycobacterium tuberculosis (+); broad drug resistance (HRSECmKmPasCsOfl); gastric ulcer (0,5 cm), exacerbation stage; chronic erosive gastritis, exacerbation stage; malignant neoplasm of the floor of the mouth on the right T3(4)N1M1. With this diagnosis, the patient was discharged for further treatment by oncologists. Physicians need to have a high alertness for cancer in patients with tuberculosis, especially those in the high-risk group. A minimum of standard diagnostic procedures will allow you to verify the diagnosis timely.
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9
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Normando AGC, Rodrigues-Fernandes CI, de Pauli Paglioni M, Arboleda LPA, de Franceschi L, Vargas PA, Lopes MA, Santos-Silva AR. An ulcerated nodule on the tip of the tongue of a patient with skin lesions. Oral Surg Oral Med Oral Pathol Oral Radiol 2021; 133:363-368. [PMID: 34511354 DOI: 10.1016/j.oooo.2021.08.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2021] [Revised: 07/26/2021] [Accepted: 08/02/2021] [Indexed: 10/20/2022]
Affiliation(s)
- Ana Gabriela Costa Normando
- Oral Diagnosis Department, Piracicaba Dental School, University of Campinas (Unicamp), Piracicaba, São Paulo, Brazil.
| | | | - Mariana de Pauli Paglioni
- Oral Diagnosis Department, Piracicaba Dental School, University of Campinas (Unicamp), Piracicaba, São Paulo, Brazil
| | | | - Leticia de Franceschi
- Centro de Oncologia, Hospital dos Fornecedores de Cana de Piracicaba, Piracicaba, São Paulo, Brazil
| | - Pablo Agustin Vargas
- Oral Diagnosis Department, Piracicaba Dental School, University of Campinas (Unicamp), Piracicaba, São Paulo, Brazil
| | - Márcio Ajudarte Lopes
- Oral Diagnosis Department, Piracicaba Dental School, University of Campinas (Unicamp), Piracicaba, São Paulo, Brazil
| | - Alan Roger Santos-Silva
- Oral Diagnosis Department, Piracicaba Dental School, University of Campinas (Unicamp), Piracicaba, São Paulo, Brazil
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Razem B, El Hamid S, Salissou I, Raiteb M, Slimani F. Lingual primary tuberculosis mimicking malignancy. Ann Med Surg (Lond) 2021; 67:102525. [PMID: 34194736 PMCID: PMC8226386 DOI: 10.1016/j.amsu.2021.102525] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2021] [Revised: 06/19/2021] [Accepted: 06/19/2021] [Indexed: 11/28/2022] Open
Abstract
INTRODUCTION The constant increase in the incidence of tuberculosis, as long as the emerging global resistance to antituberculous drugs warrants an increased awareness of the possibility of Mycobacterium Tuberculosis in persistent lesions of the oral cavity. Lingual tuberculosis is a rarely described entity of extra pulmonary tuberculosis. It usually presents as a non-healing chronic mucosal lesion that may mimic malignant lingual neoplasms. CASE REPORT In the present paper, we report a rare presentation of lingual tuberculosis in a 36 years old woman, which was clinically suspected as an extensive malignant fissure of the tongue. The diagnosis was confirmed by tongue biopsy and the patient responded well to the antitubercular chemotherapy. DISCUSSION lingual tuberculosis is a rare clinical and pathological entity of extrapulmonary tuberculosis. Only a few cases have been reported around the world, and in each one of them, a unique clinical form has been described. This variability of clinical presentations can allude to several pathological conditions including malignancy. CONCLUSION This case report is a documentation of a unique clinical and radiological presentation of lingual tuberculosis; it also highlights the importance of considering tuberculosis in the differential diagnosis of chronic tongue lesions.
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Affiliation(s)
- Bahaa Razem
- Service de Stomatologie et Chirurgie Maxillo-faciale, Hôpital 20 Août, CHU Ibn Rochd, B.P, 2698, Casablanca, Morocco
| | - Sami El Hamid
- Service de Stomatologie et Chirurgie Maxillo-faciale, Hôpital 20 Août, CHU Ibn Rochd, B.P, 2698, Casablanca, Morocco
| | - Iro Salissou
- Service de Stomatologie et Chirurgie Maxillo-faciale, Hôpital 20 Août, CHU Ibn Rochd, B.P, 2698, Casablanca, Morocco
| | - Mohamed Raiteb
- Service de Stomatologie et Chirurgie Maxillo-faciale, Hôpital 20 Août, CHU Ibn Rochd, B.P, 2698, Casablanca, Morocco
| | - Faiçal Slimani
- Service de Stomatologie et Chirurgie Maxillo-faciale, Hôpital 20 Août, CHU Ibn Rochd, B.P, 2698, Casablanca, Morocco
- Faculté de Médecine et Pharmacie, Hassan II University of Casablanca, B.P 5696, Casablanca, Morocco
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Warrier A, Sruthi M, Anbarasi K. Comprehensive management of major aphthous ulcer. BMJ Case Rep 2021; 14:14/5/e241010. [PMID: 33986008 PMCID: PMC8126288 DOI: 10.1136/bcr-2020-241010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Recurrent aphthous ulcers are the most prevalent oral mucosal disease, but the subset major aphthous ulcer is a less frequent type. These ulcers are refractory, may persist for several weeks to months, and interfere with the normal state of health. The aetiology is multifactorial and so is the treatment. We present a case of an adolescent male patient reported with multiple oral ulcers. He developed three ulcers simultaneously and suffered for 10 months despite using topical medications prescribed by different dental practitioners. We executed a multidisciplinary treatment approach that resulted in a long-term disease-free state. The treatment methods followed in our case could be a successful model to implement by medical practitioners and oral physicians when the situation demands.
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Affiliation(s)
- Aravind Warrier
- Oral Medicine and Radiology, Sri Ramachandra Institute of Higher Education and Research, Chennai, India
| | - Maguluru Sruthi
- Oral Medicine and Radiology, Sri Ramachandra Institute of Higher Education and Research, Chennai, India
| | - K Anbarasi
- Oral Medicine and Radiology, Sri Ramachandra Institute of Higher Education and Research, Chennai, India
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12
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Fragoso J, Oliveira MM, Gonçalves C, Méndez J, Sarmento-Castro R. Oral ulcer as presentation of cavitating pulmonary tuberculosis. IDCases 2020; 22:e00976. [PMID: 33083228 PMCID: PMC7554358 DOI: 10.1016/j.idcr.2020.e00976] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2020] [Revised: 09/26/2020] [Accepted: 09/26/2020] [Indexed: 11/16/2022] Open
Abstract
Tuberculosis is an indolent infection that can invade any organ. Although the most frequent form of presentation is pulmonary, it can have an extra-pulmonary presentation, including rare cases of oral tuberculosis. We present a clinical case of a 44 year-old man, active smoker, with an ulcerated lesion on the posterior third of the tongue, initially interpreted as a probable neoplasm. The pathological study of the biopsy performed on the lesion, showed alterations compatible with a chronic granulomatous process and the presence of acid-fast bacilli. The concomitant diagnosis of pulmonary tuberculosis was made in a subsequent study. The patient started therapy with isoniazid, rifampin, pyrazinamide and ethambutol with complete resolution of the oral lesion and pulmonary tuberculosis. This case exemplifies the importance of including tuberculosis in the differential diagnosis of ulcerated and neoformative lesions and the value of performing a microbiological study alongside the pathological one.
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Affiliation(s)
- Joana Fragoso
- Serviço de Doenças Infeciosas do Centro Hospitalar Universitário do Porto, Portugal
| | | | - Celina Gonçalves
- Serviço de Doenças Infeciosas do Centro Hospitalar Universitário do Porto, Portugal.,Serviço de Cuidados Intensivos do Centro Hospitalar Universitário do Porto, Portugal
| | - Josefina Méndez
- Serviço de Doenças Infeciosas do Centro Hospitalar Universitário do Porto, Portugal
| | - Rui Sarmento-Castro
- Serviço de Doenças Infeciosas do Centro Hospitalar Universitário do Porto, Portugal
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Rout P, Modipalle V, Hedge SS, Patel N, Uppala S, Shetty PK. Prevalence of oral lesions in tuberculosis: A cross sectional study. J Family Med Prim Care 2019; 8:3821-3825. [PMID: 31879619 PMCID: PMC6924226 DOI: 10.4103/jfmpc.jfmpc_714_19] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2019] [Revised: 09/17/2019] [Accepted: 10/09/2019] [Indexed: 01/18/2023] Open
Abstract
OBJECTIVE Tuberculosis (Tb) is a fatal infectious disease that primarily affects the pulmonary system and rarely occurs in other body organs including oral cavity. The aim of this study was to report all patients with primary manifestations of oral tuberculosis and to evaluate the clinical characteristics of oral tuberculosis lesions. All these patients were subsequently diagnosed with tuberculosis based on oral histological findings and referred for management and therapy. MATERIALS AND METHODS Twelve patients with oral lesions from the year 2010 to 2018 were histologically diagnosed as having tuberculosis, who did not give any history of the disease, following surgical biopsy. Clinical symptoms, auxiliary examinations, treatments, and outcomes were recorded and analyzed. RESULTS Oral TB was found in all 12 patients; 8 males and 4 females, with male to female ratio 8:4. Involved oral sites included the angle of the mandible (one case), right mandibular molar region (two cases), left mandibular molar region (four cases), gingiva (three cases), buccal mucosa (one case), and the tongue (one case). Oral TB patients in this series ranged in the age group of 6-65 years. All the lesions were suggestive of primary tuberculosis. The appearance of the affected mucosa in oral TB was variable. The most common manifestation was ulceration and swelling of the mucosa. CONCLUSION TB should be considered in patients with oral ulcerations and swellings. A biopsy specimen for histological study, acid-fast stains, and cultures should be obtained for confirmation and differential diagnosis along with other conditions.
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Affiliation(s)
- Purnendu Rout
- Department of Oral Medicine and Radiology, Kalinga Institute of Dental Sciences, KIIT University, Bhubaneswar, Orissa, India
| | - Varsha Modipalle
- Department of Pedodontics and Preventive Dentistry, C.K.S Teja Institute of Dental Sciences and Research, Renigunta, Tirupati, Andhra Pradesh, India
| | - Shruthi S Hedge
- Department of Oral Medicine and Radiology, Srinivas Institute of Dental Sciences, Mangalore, Karnataka, India
| | - Nirav Patel
- Department of Oral and Maxillofacial Surgery, Goenka Research Institute of Dental Sciences, Gandhinagar, Gujarat, India
| | - Sravani Uppala
- Department of Conservative Dentistry and Endodontics, Drs. Sudha and Nageswara Rao Siddhartha Institute of Dental Sciences, Chinaoutpalli, Andhra Pradesh, India
| | - Prajwal K Shetty
- Department of Orthodontics, A.B. Shetty Memorial Institute of Dental Sciences, Deralakatte, Mangalore, Karnataka, India
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