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Primary lingual tuberculosis presenting as cold -Abscess tongue: A case report
S K Vishwakarma1, Shraddha Jain, Manisha Gupta
1Department of ENT, UCMS and GTB Hospital, Shahdara, Delhi, India.
Summary
Oral tuberculosis is rare, with the tongue being the most common site. This case highlights an unusual presentation of primary lingual tuberculosis as a cold abscess, offering new insights into its varied clinical manifestations.
Area of Science:
- Oral Medicine
- Infectious Diseases
- Pathology
Background:
- Oral tuberculosis (TB) is an uncommon manifestation of Mycobacterium tuberculosis infection.
- The tongue is the most frequent oral site affected by TB.
- Clinical presentations of oral TB are diverse and can mimic other conditions.
Purpose of the Study:
- To report a rare case of primary lingual tuberculosis.
- To describe an unusual clinical presentation of lingual tuberculosis as a cold abscess.
- To contribute to the understanding of the varied oral manifestations of tuberculosis.
Main Methods:
- Case report of a patient with primary lingual tuberculosis.
- Clinical examination and diagnostic workup.
- Review of relevant literature on oral tuberculosis.
Main Results:
- A case of primary tuberculosis localized to the tongue presented as a cold abscess.
- The presentation was atypical compared to common ulcerative or nodular forms of lingual TB.
- Diagnostic confirmation was achieved through appropriate investigations.
Conclusions:
- Primary lingual tuberculosis can present with unusual clinical features, such as a cold abscess.
- Increased awareness of these atypical presentations is crucial for timely diagnosis and management of oral tuberculosis.
- This case underscores the importance of considering tuberculosis in the differential diagnosis of lingual lesions.
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