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[Tuberculosis of jaw bones].

H Adamczyk, A Jaworska, E Zielińska

    Czasopismo Stomatologiczne
    |February 1, 1989
    PubMed
    Summary

    Tuberculosis of the jaw bones is rare but increasing. Diagnosis can be challenging, requiring histological examination for confirmation, even with initial negative results.

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    Area of Science:

    • Oral Medicine
    • Infectious Diseases
    • Pathology

    Background:

    • Tuberculosis (TB) prevalence is rising globally.
    • Isolated tuberculous foci in jaw bones are uncommon presentations of TB.
    • Prompt diagnosis and treatment are crucial for managing TB.

    Observation:

    • Three cases of jaw bone tuberculosis presented with protracted courses and draining fistulae.
    • Initial diagnostic investigations, including pus and sputum microscopy, were inconclusive in one case.
    • Histological examination of pathological lesions was essential for definitive diagnosis.

    Findings:

    • Histological examination confirmed tuberculosis in all three cases of jaw bone lesions.
    • Delayed diagnosis occurred in one case due to non-specific initial findings.
    • Treatment with tuberculostatic agents led to clinical improvement.

    Implications:

    • Highlights the importance of considering tuberculosis in persistent jaw lesions, especially with rising TB rates.
    • Emphasizes the diagnostic value of histology when initial tests are negative.
    • Underscores the effectiveness of standard anti-tuberculosis therapy for osseous TB.

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