Primary oral tuberculosis in a patient with lepromatous leprosy: Diagnostic dilemma
Pulmonary tuberculosis (TB) is the most common form of TB. Primary infection can also affect the pharynx, cervical lymph node, intestine, or oral mucosa. Historically, the observed incidence of concomitant infection with leprosy and TB is high. However, reports of concomitant infection in modern lit...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2016-01-01
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| Series: | International Journal of Mycobacteriology |
| Subjects: | |
| Online Access: | http://www.ijmyco.org/article.asp?issn=2212-5531;year=2016;volume=5;issue=1;spage=102;epage=105;aulast=Ganesan |
| _version_ | 1819038338119630848 |
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| author | Vithiya Ganesan Jharna Mandal |
| author_facet | Vithiya Ganesan Jharna Mandal |
| author_sort | Vithiya Ganesan |
| collection | DOAJ |
| description | Pulmonary tuberculosis (TB) is the most common form of TB. Primary infection can also affect the pharynx, cervical lymph node, intestine, or oral mucosa. Historically, the observed incidence of concomitant infection with leprosy and TB is high. However, reports of concomitant infection in modern literature remain scarce. Most cases reported in the literature had borderline/lepromatous leprosy and pulmonary tuberculosis. Extrapulmonary tuberculosis is reported in only 3.2% of leprosy cases. To the best of our knowledge, this is the first case report of primary oral tuberculosis of the tongue in a patient with lepromatous leprosy with Type 2 lepra reaction. The patient was referred to Directly Observed Treatment, Short-Course clinic and started on Category I treatment. She received oral prednisolone for lepra reaction, which was subsequently tapered and stopped, however, she continued to receive other antileprotic drugs (thalidomide and clofazimine). The patient's general condition improved and she is on regular follow up. |
| first_indexed | 2024-12-21T08:35:43Z |
| format | Article |
| id | doaj.art-bd695dcd3b90499fa079a8ce115f2902 |
| institution | Directory Open Access Journal |
| issn | 2212-5531 2212-554X |
| language | English |
| last_indexed | 2024-12-21T08:35:43Z |
| publishDate | 2016-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | International Journal of Mycobacteriology |
| spelling | doaj.art-bd695dcd3b90499fa079a8ce115f29022022-12-21T19:10:05ZengWolters Kluwer Medknow PublicationsInternational Journal of Mycobacteriology2212-55312212-554X2016-01-015110210510.1016/j.ijmyco.2015.10.006Primary oral tuberculosis in a patient with lepromatous leprosy: Diagnostic dilemmaVithiya GanesanJharna MandalPulmonary tuberculosis (TB) is the most common form of TB. Primary infection can also affect the pharynx, cervical lymph node, intestine, or oral mucosa. Historically, the observed incidence of concomitant infection with leprosy and TB is high. However, reports of concomitant infection in modern literature remain scarce. Most cases reported in the literature had borderline/lepromatous leprosy and pulmonary tuberculosis. Extrapulmonary tuberculosis is reported in only 3.2% of leprosy cases. To the best of our knowledge, this is the first case report of primary oral tuberculosis of the tongue in a patient with lepromatous leprosy with Type 2 lepra reaction. The patient was referred to Directly Observed Treatment, Short-Course clinic and started on Category I treatment. She received oral prednisolone for lepra reaction, which was subsequently tapered and stopped, however, she continued to receive other antileprotic drugs (thalidomide and clofazimine). The patient's general condition improved and she is on regular follow up.http://www.ijmyco.org/article.asp?issn=2212-5531;year=2016;volume=5;issue=1;spage=102;epage=105;aulast=GanesanCo-infectionLeprosyOral tuberculosis |
| spellingShingle | Vithiya Ganesan Jharna Mandal Primary oral tuberculosis in a patient with lepromatous leprosy: Diagnostic dilemma International Journal of Mycobacteriology Co-infection Leprosy Oral tuberculosis |
| title | Primary oral tuberculosis in a patient with lepromatous leprosy: Diagnostic dilemma |
| title_full | Primary oral tuberculosis in a patient with lepromatous leprosy: Diagnostic dilemma |
| title_fullStr | Primary oral tuberculosis in a patient with lepromatous leprosy: Diagnostic dilemma |
| title_full_unstemmed | Primary oral tuberculosis in a patient with lepromatous leprosy: Diagnostic dilemma |
| title_short | Primary oral tuberculosis in a patient with lepromatous leprosy: Diagnostic dilemma |
| title_sort | primary oral tuberculosis in a patient with lepromatous leprosy diagnostic dilemma |
| topic | Co-infection Leprosy Oral tuberculosis |
| url | http://www.ijmyco.org/article.asp?issn=2212-5531;year=2016;volume=5;issue=1;spage=102;epage=105;aulast=Ganesan |
| work_keys_str_mv | AT vithiyaganesan primaryoraltuberculosisinapatientwithlepromatousleprosydiagnosticdilemma AT jharnamandal primaryoraltuberculosisinapatientwithlepromatousleprosydiagnosticdilemma |