Primary Tuberculosis of The Submandibular Gland:A Case Report

AbstractChronic sialadenitis is a disease of salivary glands associated with chronic infections,systemic diseases and silolithiasis pathogenesis of the disease. Primary tuberculoussubmandibulitis is not a reported disease. The diagnosis was confirmed whena 45 years old lady suspicious to submandibul...

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Main Authors: Mohammad Ajalloueyan, Davood Yadegary
Format: Article
Language:English
Published: Iran University of Medical Sciences 2009-02-01
Series:Medical Journal of The Islamic Republic of Iran
Subjects:
Online Access:http://mjiri.tums.ac.ir/browse.php?a_code=A-10-1-17&slc_lang=en&sid=1
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author Mohammad Ajalloueyan
Davood Yadegary
author_facet Mohammad Ajalloueyan
Davood Yadegary
author_sort Mohammad Ajalloueyan
collection DOAJ
description AbstractChronic sialadenitis is a disease of salivary glands associated with chronic infections,systemic diseases and silolithiasis pathogenesis of the disease. Primary tuberculoussubmandibulitis is not a reported disease. The diagnosis was confirmed whena 45 years old lady suspicious to submandibular gland tumor was operated on for excisionalbiopsy. Histological examination of the specimen by expert pathologistruled out malignancy, granuloma or caseous necrosis. Cultures of discharge and tissuewere negative for mycobacterium tuberculosis. The only positive diagnosticmodality was Polymerase Chain Reaction for mycobacterium tuberculosis. Therefore,the four drug anti-TB regimen was initiated. After that a surgical fistula washealed and the patient left the hospital on her foot and there was no recurrence at leastfor one year. The endemic condition of tuberculosis in some populations has increasedthe rate of extra-pulmonary tuberculosis. One of the extra pulmonary sitesmay be the submandibular gland.It is recommended to consider tuberculosis in the differential diagnosis of submandibulargland masses especially in populations with endemic tuberculosis.
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spelling doaj.art-73ddcc9a72bc457892ceca04ddb87b4a2022-12-21T23:01:36ZengIran University of Medical SciencesMedical Journal of The Islamic Republic of Iran1016-14302251-68402009-02-01224203206Primary Tuberculosis of The Submandibular Gland:A Case ReportMohammad AjalloueyanDavood YadegaryAbstractChronic sialadenitis is a disease of salivary glands associated with chronic infections,systemic diseases and silolithiasis pathogenesis of the disease. Primary tuberculoussubmandibulitis is not a reported disease. The diagnosis was confirmed whena 45 years old lady suspicious to submandibular gland tumor was operated on for excisionalbiopsy. Histological examination of the specimen by expert pathologistruled out malignancy, granuloma or caseous necrosis. Cultures of discharge and tissuewere negative for mycobacterium tuberculosis. The only positive diagnosticmodality was Polymerase Chain Reaction for mycobacterium tuberculosis. Therefore,the four drug anti-TB regimen was initiated. After that a surgical fistula washealed and the patient left the hospital on her foot and there was no recurrence at leastfor one year. The endemic condition of tuberculosis in some populations has increasedthe rate of extra-pulmonary tuberculosis. One of the extra pulmonary sitesmay be the submandibular gland.It is recommended to consider tuberculosis in the differential diagnosis of submandibulargland masses especially in populations with endemic tuberculosis.http://mjiri.tums.ac.ir/browse.php?a_code=A-10-1-17&slc_lang=en&sid=1Chronic SialadenitisTuberculosisSubmandibular Gland
spellingShingle Mohammad Ajalloueyan
Davood Yadegary
Primary Tuberculosis of The Submandibular Gland:A Case Report
Medical Journal of The Islamic Republic of Iran
Chronic Sialadenitis
Tuberculosis
Submandibular Gland
title Primary Tuberculosis of The Submandibular Gland:A Case Report
title_full Primary Tuberculosis of The Submandibular Gland:A Case Report
title_fullStr Primary Tuberculosis of The Submandibular Gland:A Case Report
title_full_unstemmed Primary Tuberculosis of The Submandibular Gland:A Case Report
title_short Primary Tuberculosis of The Submandibular Gland:A Case Report
title_sort primary tuberculosis of the submandibular gland a case report
topic Chronic Sialadenitis
Tuberculosis
Submandibular Gland
url http://mjiri.tums.ac.ir/browse.php?a_code=A-10-1-17&slc_lang=en&sid=1
work_keys_str_mv AT mohammadajalloueyan primarytuberculosisofthesubmandibularglandacasereport
AT davoodyadegary primarytuberculosisofthesubmandibularglandacasereport