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Tuberculosis of the jaws.

T Sepheriadou-Mavropoulou, A Yannoulopoulos

    Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
    |February 1, 1986
    PubMed
    Summary

    Tuberculosis rarely affects the jaws, but this study presents two cases of jaw tuberculosis. These rare jaw lesions, including osteomyelitis and granuloma, warrant consideration in differential diagnoses.

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    Area of Science:

    • Oral and Maxillofacial Surgery
    • Infectious Diseases
    • Pathology

    Background:

    • Tuberculosis (TB) is a significant global health issue, primarily affecting the lungs but capable of manifesting in various organs.
    • While rare, extrapulmonary tuberculosis can involve the craniofacial structures, including the jaws.

    Observation:

    • Presents two distinct cases of jaw tuberculosis: one involving tuberculous osteomyelitis and the other a tuberculous granuloma.
    • In both cases, the jaw lesions were the sole presenting signs of tuberculosis.
    • The possibility of these jaw lesions representing primary sites of infection is explored.

    Findings:

    • Tuberculosis of the jaws is an uncommon presentation of the disease.
    • The radiographic and histopathological features of these rare jaw TB cases are detailed.
    • Highlights the diagnostic challenge posed by atypical presentations of tuberculosis.

    Implications:

    • Emphasizes the importance of including tuberculosis in the differential diagnosis for unexplained jaw lesions, even in low-prevalence settings.
    • Underscores the need for increased awareness among clinicians regarding the potential for oral and maxillofacial tuberculosis.
    • Suggests that prompt diagnosis and treatment of jaw tuberculosis can prevent further dissemination and improve patient outcomes.

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