Multifocal Tuberculosis Presenting as Mandibular Swelling in a 3-Year-Old Boy: A Case Report
ABSTRACT Objective: To report a case of multifocal pediatric tuberculosis presenting with mandibular swelling and discuss its etiology, clinical findings, diagnosis, management, and outcome after treatment. Methods: Design: Case Report Setting: Tertiary Government Training...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Philippine Society of Otolaryngology-Head and Neck Surgery, Inc.
2022-11-01
|
| Series: | Philippine Journal of Otolaryngology Head and Neck Surgery |
| Subjects: | |
| Online Access: | https://pjohns.pso-hns.org/index.php/pjohns/article/view/2035 |
| _version_ | 1811216167020265472 |
|---|---|
| author | Kathleen Kay Yambot Neil Aldrine Peñaflor |
| author_facet | Kathleen Kay Yambot Neil Aldrine Peñaflor |
| author_sort | Kathleen Kay Yambot |
| collection | DOAJ |
| description |
ABSTRACT
Objective: To report a case of multifocal pediatric tuberculosis presenting with mandibular swelling and discuss its etiology, clinical findings, diagnosis, management, and outcome after treatment.
Methods:
Design: Case Report
Setting: Tertiary Government Training Hospital
Patient: One
Results: A 3-year-old boy presented with progressive non-tender, right mandibular swelling for 11 months. Panoramic X-ray exhibited extensive multiple loculations with lytic changes on the mandible. CT Scans revealed a peripherally enhancing hypodense mass with lytic expansion of the right mandibular angle extending across the left mandibular body with an incidental finding of right lung mass. Other extrapulmonary lesions were also detected involving the scapula, pleura with lysis of the adjacent ribs at the level of T7 and T8. Biopsy of the mandibular and lung mass confirmed the presence of caseating and non-caseating granulomas consistent with Koch’s infection. The patient showed significant improvement by the 7th month of a 12-month course of anti-tuberculous therapy.
Conclusion: Multifocal TB can present as simple mandibular swelling, and a thorough workup should look for other involved sites. Early diagnosis in children may prevent debilitating sequelae and improve long-term treatment outcomes.
|
| first_indexed | 2024-04-12T06:34:39Z |
| format | Article |
| id | doaj.art-77c48f9cec17434eb5e447e3628660c0 |
| institution | Directory Open Access Journal |
| issn | 1908-4889 2094-1501 |
| language | English |
| last_indexed | 2024-04-12T06:34:39Z |
| publishDate | 2022-11-01 |
| publisher | Philippine Society of Otolaryngology-Head and Neck Surgery, Inc. |
| record_format | Article |
| series | Philippine Journal of Otolaryngology Head and Neck Surgery |
| spelling | doaj.art-77c48f9cec17434eb5e447e3628660c02022-12-22T03:43:54ZengPhilippine Society of Otolaryngology-Head and Neck Surgery, Inc.Philippine Journal of Otolaryngology Head and Neck Surgery1908-48892094-15012022-11-01372Multifocal Tuberculosis Presenting as Mandibular Swelling in a 3-Year-Old Boy: A Case ReportKathleen Kay Yambot0Neil Aldrine Peñaflor1Bicol Medical CenterBicol Medical Center ABSTRACT Objective: To report a case of multifocal pediatric tuberculosis presenting with mandibular swelling and discuss its etiology, clinical findings, diagnosis, management, and outcome after treatment. Methods: Design: Case Report Setting: Tertiary Government Training Hospital Patient: One Results: A 3-year-old boy presented with progressive non-tender, right mandibular swelling for 11 months. Panoramic X-ray exhibited extensive multiple loculations with lytic changes on the mandible. CT Scans revealed a peripherally enhancing hypodense mass with lytic expansion of the right mandibular angle extending across the left mandibular body with an incidental finding of right lung mass. Other extrapulmonary lesions were also detected involving the scapula, pleura with lysis of the adjacent ribs at the level of T7 and T8. Biopsy of the mandibular and lung mass confirmed the presence of caseating and non-caseating granulomas consistent with Koch’s infection. The patient showed significant improvement by the 7th month of a 12-month course of anti-tuberculous therapy. Conclusion: Multifocal TB can present as simple mandibular swelling, and a thorough workup should look for other involved sites. Early diagnosis in children may prevent debilitating sequelae and improve long-term treatment outcomes. https://pjohns.pso-hns.org/index.php/pjohns/article/view/2035tuberculosis (TB)mandiblechildmultifocaldisseminatedextrapulmonary |
| spellingShingle | Kathleen Kay Yambot Neil Aldrine Peñaflor Multifocal Tuberculosis Presenting as Mandibular Swelling in a 3-Year-Old Boy: A Case Report Philippine Journal of Otolaryngology Head and Neck Surgery tuberculosis (TB) mandible child multifocal disseminated extrapulmonary |
| title | Multifocal Tuberculosis Presenting as Mandibular Swelling in a 3-Year-Old Boy: A Case Report |
| title_full | Multifocal Tuberculosis Presenting as Mandibular Swelling in a 3-Year-Old Boy: A Case Report |
| title_fullStr | Multifocal Tuberculosis Presenting as Mandibular Swelling in a 3-Year-Old Boy: A Case Report |
| title_full_unstemmed | Multifocal Tuberculosis Presenting as Mandibular Swelling in a 3-Year-Old Boy: A Case Report |
| title_short | Multifocal Tuberculosis Presenting as Mandibular Swelling in a 3-Year-Old Boy: A Case Report |
| title_sort | multifocal tuberculosis presenting as mandibular swelling in a 3 year old boy a case report |
| topic | tuberculosis (TB) mandible child multifocal disseminated extrapulmonary |
| url | https://pjohns.pso-hns.org/index.php/pjohns/article/view/2035 |
| work_keys_str_mv | AT kathleenkayyambot multifocaltuberculosispresentingasmandibularswellingina3yearoldboyacasereport AT neilaldrinepenaflor multifocaltuberculosispresentingasmandibularswellingina3yearoldboyacasereport |