DOI: http://dx.doi.org/10.18203/2349-3933.ijam20151025

An unusual focus of extra pulmonary tuberculosis

Nilima Sharma, Anuj Sharma, Mukta Pujani, Sunil Kohli

Abstract


Extrapulmonary tuberculosis (EPTB) is an uncommon form of chronic infection, which does not present with the typical signs and symptoms of pulmonary tuberculosis. Most extrapulmonary forms of tuberculosis affect organs with suboptimal conditions for bacillary growth. Therefore, extrapulmonary tuberculosis generally has an insidious presentation, a slow evolution, and paucibacillary lesions and/or fluids. Access to the lesions through secretions and body fluids is not always possible; therefore, invasive techniques may be necessary to obtain material for diagnostic investigation. Oral tuberculosis lesions are infrequent and their occurrence is usually secondary to pulmonary involvement. Here is an unusual presentation of oral TB which was unraveled incidentally during a routine dental extraction.

Keywords


Extra pulmonary tuberculosis, Primary oral TB, Secondary oral TB, Dental pulp, Granuloma, Giant cells

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References


Neelam NA, Tejas SM. Orofacial tuberculosis - a 16-year experience with 46 cases. J Oral Maxillofac Surg. 2012;70:e12-22.

Ito FA, Andrade CR, Vargas PA, Jorge J, Lopes MA. Primary tuberculosis of the oral cavity. Oral Dis. 2005;11:50-3.

Tung NH, GĂ©rard A, Michel D. Mini review: dental pulp as a source for paleomicrobiology. Bull Int Assoc Paleodont. 2011;5:48-54.

Bailey BJ, Calhoun KH, Derkay CS, Friedman N, Gluckman J, Healy GB, et al. Otologic manifestations of systemic diseases. In: Schleuning AJ, Andersen PE, Fong KJ, eds. Head and Neck Surgery - Otolaryngology. 3rd edition. Philadelphia: Lippincott Williams, and Wilkins; 2001:1861.

Robert GH, David IT. Head and neck manifestations of tuberculosis. Oral Maxillofac Surg Clin N Am. 2008;20:635-42.

Miziara ID. Tuberculosis affecting the oral cavity in Brazilian HIV-infected patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005;100:179-82.

Prasad KC, Sreedharan S, Chakravarthy Y, Prasad SC. Tuberculosis in the head and neck: experience in India. J Laryngol Otol. 2007;121:979-85.

Kim S. Regulation of pulp blood flow. J Dent Res. 1985;64:590-6.

Poinar HN, Stankiewicz BA. Protein preservation and DNA retrieval from ancient tissues. Proc Natl Acad Sci USA. 1999;96:8426-31.

Boros-Major A, Bona A, Lovasz G, Molnarb E, Marcsikb A, Palfib G, et al. New perspectives in biomolecular paleopathology of ancient tuberculosis: a proteomic approach. J Archaeol Sci. 2011;38:197-201.

Eng HL, Lu SY, Yang CH, Chen WJ. Oral tuberculosis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996;81:415-20.