Chéilite tuberculeuse révélant une tuberculose pulmonaire

Abstract

La tuberculose de la cavité buccale reste rare. Elle admet un polymorphisme clinique et pose avant tout un problème de diagnostic. Nous rapportons le cas d'un homme de 42 ans présentant une chéilite tuberculeuse. L’intérêt de cette présentation est d’attirer l’attention sur la tuberculose que l’on peut retrouver de façon exceptionnelle dans certaines localisations, comme la lèvre buccale.

Granulomatous Cheilitis Revealing Latent Tuberculous Infection

“…Bhattacharya M. et al reported a child's GC second of pulmonary tuberculosis [5]. Other two authors described cheilitis as a secondary manifestation of latent pulmonary tuberculosis in adult patients in Cuba [6], respectively in Morocco [7].…”

“…In this context, the treatment of the LTBI is also under consideration, especially when the LTBI is displayed with distant lesions. In the reported association cases between GC and LTBI, the preferred treatment modality includes a combination of several anti-tubercular drugs (isoniazid, rifampicin, ethambutol and pyrazinamide) [4,5,6,7]. This is in contrast to the recommendations of WHO.…”

Granulomatous Cheilitis or Tuberculid?

“…Bhattacharya M. et al reported a child with GC, described as tuberculid secondary to asymptomatic tuberculosis [6]. Other authors described also angular cheilitis as a secondary manifestation of asymptomatic tuberculosis in adult patients in Cuba [8] and Morocco [9].…”

“…In all reported cases of tuberculids associated with asymptomatic tuberculous infection and manifested as GC, the histological evaluation revealed both granulomatous inflammation and lack of MBT [5,6,8,9]. The underlying tuberculous infection was proved based on microbiological confirmation of MBT in sputum and radiography findings.…”