Orofacial tuberculosis: A diagnostic challenge
Tuberculosis is typically a pulmonary chronic infectious disease with a high prevalence in developing countries which carries a substantial rate of mortality. Extrapulmonary disease may occur, mainly second to the endogenous spread of the pathogen from the primary site. Oral or mandibular involvemen...
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| Format: | Article |
| Language: | English |
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Elsevier
2020-01-01
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| Series: | IDCases |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214250920301335 |
| _version_ | 1818618751346540544 |
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| author | Sabah Abdulaziz Issa Hussein Ali Abdulnabi Mustafa Emaduldeen Jameel |
| author_facet | Sabah Abdulaziz Issa Hussein Ali Abdulnabi Mustafa Emaduldeen Jameel |
| author_sort | Sabah Abdulaziz Issa |
| collection | DOAJ |
| description | Tuberculosis is typically a pulmonary chronic infectious disease with a high prevalence in developing countries which carries a substantial rate of mortality. Extrapulmonary disease may occur, mainly second to the endogenous spread of the pathogen from the primary site. Oral or mandibular involvement represents a minority among the reported cases. A 12-year-old female patient with a diffuse left-sided facial swelling and dull pain that gradually developed over 8 months, presented to us with misdiagnosis and poor management. Examination was found to have a firm swelling involving the buccal region, and left posterior mandible with intact overlying skin and mucosa, and palpable cervical lymphadenopathy. Imaging showed a heterogeneous osteolytic lesion of left ramus extending to the surrounding soft tissue. The diagnosis with oro-facial tuberculosis was established by histopathological study and confirmed by the Mantoux test and polymerase chain reaction. Although it occurs rarely, oro-facial tuberculosis has detrimental local and systemic effects, and devoid of characteristic clinical and radiographic features, poses a diagnostic challenge. |
| first_indexed | 2024-12-16T17:26:34Z |
| format | Article |
| id | doaj.art-d58e8e789dff446fafe7a6dab1e70dd8 |
| institution | Directory Open Access Journal |
| issn | 2214-2509 |
| language | English |
| last_indexed | 2024-12-16T17:26:34Z |
| publishDate | 2020-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | IDCases |
| spelling | doaj.art-d58e8e789dff446fafe7a6dab1e70dd82022-12-21T22:23:02ZengElsevierIDCases2214-25092020-01-0121e00825Orofacial tuberculosis: A diagnostic challengeSabah Abdulaziz Issa0Hussein Ali Abdulnabi1Mustafa Emaduldeen Jameel2Consultant Oral and Maxillofacial Surgeon, Department of Oral and Maxillofacial Surgery, Medical City Complex, Bab Al Muadham, 10047, Baghdad, IraqOral and Maxillofacial Surgery Board Resident, Department of Oral and Maxillofacial Surgery, Medical City Complex, Bab Al Muadham, 10047, Baghdad, Iraq; Corresponding author at: Department of Oral and Maxillofacial Surgery, Medical City Complex, Bab Al Muadham, 10047, Baghdad, Iraq.Oral and Maxillofacial Surgery Board Resident, Department of Oral and Maxillofacial Surgery, Medical City Complex, Bab Al Muadham, 10047, Baghdad, IraqTuberculosis is typically a pulmonary chronic infectious disease with a high prevalence in developing countries which carries a substantial rate of mortality. Extrapulmonary disease may occur, mainly second to the endogenous spread of the pathogen from the primary site. Oral or mandibular involvement represents a minority among the reported cases. A 12-year-old female patient with a diffuse left-sided facial swelling and dull pain that gradually developed over 8 months, presented to us with misdiagnosis and poor management. Examination was found to have a firm swelling involving the buccal region, and left posterior mandible with intact overlying skin and mucosa, and palpable cervical lymphadenopathy. Imaging showed a heterogeneous osteolytic lesion of left ramus extending to the surrounding soft tissue. The diagnosis with oro-facial tuberculosis was established by histopathological study and confirmed by the Mantoux test and polymerase chain reaction. Although it occurs rarely, oro-facial tuberculosis has detrimental local and systemic effects, and devoid of characteristic clinical and radiographic features, poses a diagnostic challenge.http://www.sciencedirect.com/science/article/pii/S2214250920301335OsteomyelitisTuberculosisOro-facial tuberculosisMandibular osteomyelitisCervicofacial infectionIraq |
| spellingShingle | Sabah Abdulaziz Issa Hussein Ali Abdulnabi Mustafa Emaduldeen Jameel Orofacial tuberculosis: A diagnostic challenge IDCases Osteomyelitis Tuberculosis Oro-facial tuberculosis Mandibular osteomyelitis Cervicofacial infection Iraq |
| title | Orofacial tuberculosis: A diagnostic challenge |
| title_full | Orofacial tuberculosis: A diagnostic challenge |
| title_fullStr | Orofacial tuberculosis: A diagnostic challenge |
| title_full_unstemmed | Orofacial tuberculosis: A diagnostic challenge |
| title_short | Orofacial tuberculosis: A diagnostic challenge |
| title_sort | orofacial tuberculosis a diagnostic challenge |
| topic | Osteomyelitis Tuberculosis Oro-facial tuberculosis Mandibular osteomyelitis Cervicofacial infection Iraq |
| url | http://www.sciencedirect.com/science/article/pii/S2214250920301335 |
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