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Primary tuberculous glossitis in an immunocompetent patient
Prem P Gupta1, Sanjay Fotedar, Dipti Agarwal
1Department of Respiratory Medicine, Postgraduate Institute of Medical Sciences, Rohtak, India. gparkas@yahoo.co.in
Hong Kong Medical Journal = Xianggang Yi Xue Za Zhi
|August 1, 2007
Summary
Tuberculous glossitis, a rare tongue infection, can occur without lung involvement. Early diagnosis and anti-tubercular treatment are crucial for favorable outcomes in chronic tongue lesions.
Area of Science:
- Oral Medicine
- Infectious Diseases
- Pathology
Background:
- Tuberculous glossitis is an exceptionally rare condition.
- Primary oral tuberculosis without pulmonary involvement is seldom reported.
Observation:
- A case of a 25-year-old male with no immunosuppression presented with a tongue base tuberculoma.
- Diagnosis was confirmed via tongue biopsy and positive polymerase chain reaction (PCR) for Mycobacterium.
Findings:
- The patient showed a favorable response to standard anti-tubercular therapy.
- This case underscores the diagnostic challenge of oral tuberculosis.
Implications:
- Clinicians should consider tuberculosis in the differential diagnosis of chronic or unexplained tongue lesions.
- Early recognition and treatment are vital, even without evident pulmonary tuberculosis.
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