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[A case of oral tuberculosis suspected malignancy]
H Kashiwagi1, T Ibe, Y Takahashi
1Department of Internal Medicine, National Myojyo Hospital, Mie, Japan.
Kekkaku : [Tuberculosis]
|July 1, 1993
Summary
Oral tuberculosis, a rare condition in Japan, was diagnosed in a patient with pulmonary tuberculosis. Prompt diagnosis and chemotherapy led to successful treatment and recovery.
Area of Science:
- Medical Microbiology
- Pulmonology
- Oral Medicine
Background:
- Oral tuberculosis is an uncommon manifestation, particularly in Japan, often presenting with atypical symptoms.
- Co-occurrence of oral and pulmonary tuberculosis requires careful diagnostic consideration.
Observation:
- A 45-year-old male presented with spontaneous tooth extraction and oral pain, revealing painful granulation and a dental fistula.
- Histological examination and positive Mycobacterium tuberculosis smears confirmed oral tuberculosis.
Findings:
- The patient exhibited extensive pulmonary lesions on chest X-ray, consistent with active tuberculosis.
- Treatment involved multi-drug chemotherapy (isoniazid, rifampicin, streptomycin, ethambutol) and nutritional support via tube feeding.
Implications:
- This case highlights the importance of considering oral tuberculosis in patients with unexplained oral lesions and pulmonary findings.
- Early diagnosis and comprehensive treatment are crucial for managing combined oral and pulmonary tuberculosis effectively.