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Published on: September 5, 2017
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Primary tuberculosis of palate.
1(Corresponding author) MD Department of Otorhinolaryngology- Head and Neck Surgery, Jalan Residensi, 10990 Georgetown, Penang General Hospital, Malaysia.
Summary
Primary tuberculosis (TB) of the hard palate is extremely rare. This case highlights a 74-year-old man diagnosed with oral TB, emphasizing the need for considering this diagnosis in similar presentations.
Area of Science:
- Oral pathology
- Infectious diseases
- Medical imaging
Background:
- Primary tuberculosis (TB) of the hard palate is an exceptionally rare condition.
- Diagnosis often presents challenges due to its rarity and non-specific symptoms.
Observation:
- A 74-year-old male presented with a 6-month history of dysphagia and an irregular mass involving the hard and soft palate.
- Magnetic resonance imaging (MRI) demonstrated palatal thickening with increased signal intensity.
Findings:
- Histopathological examination revealed a focal caseating granulomatous-like lesion.
- Ziehl-Neelsen staining confirmed the presence of acid-fast bacilli, strongly suggesting tuberculosis.
Implications:
- This case underscores the importance of considering tuberculosis in the differential diagnosis of palatal masses, even in the absence of typical pulmonary symptoms.
- Early diagnosis and initiation of antituberculous therapy are crucial for effective management and preventing disease progression.
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