Oral manifestation of tuberculosis: a case-report

Abstract

The present case-report describes tuberculosis on the oral mucosa, in a rare manifestation of the disease. The importance of appropriate diagnosis and awareness of the clinical manifestations is highlighted. Oral lesions seem to occur as chronic ulcers, nodular or granular areas, and rare, firm leukoplakia regions. Most extra-pulmonary lesions represent secondary infections of a primary lung infectious focus; therefore, early and accurate diagnosis is required for planning of the best treatment and strategies to control the disease.

Importance of rapid management in painful progressive ulcerative lesions in elderly immunosuppressed patients: Two case reports

“…Some authors believe that antibodies present at the saliva comprehend a potent inhibitory effect, 8 while other researchers understand that the rigid squamous epithelium at the oral mucosa offers resistance to the bacilli penetration. 14 A relationship may be noticed between our cases and another case reported by de Souza et al 15 These authors describe the presence of painful oral lesions in a 61-year-old male patient that was immunosuppressed due to uncompensated type 2 diabetes mellitus. This patient, however, reported productive cough for the previous 15 days with confirmation of oral TB only by Mantoux assay.…”

“…A relationship may be noticed between our cases and another case reported by de Souza et al . These authors describe the presence of painful oral lesions in a 61‐year‐old male patient that was immunosuppressed due to uncompensated type 2 diabetes mellitus.…”

“…This patient, however, reported productive cough for the previous 15 days with confirmation of oral TB only by Mantoux assay. In this case, de Souza et al discussed the uncommon manifestation of TB oral lesions and the difficulty of establishing a differential diagnosis of painful ulcerative lesions in immunosuppressed patients that frequently die by reasons of clinical conditions and sepsis, which had occurred in both our first case report and in theirs.…”

Tuberculose de cabeça e pescoço: relato de casos 2015 a 2018

“…13 Diagnóstico O método para o diagnóstico de tuberculose é realizado com base em achados clínicos, radiografia de tórax, biópsia, cultura de escarro, coloração de bacilos álcool ácidos resistentes (Ziehl-Neelsen), que mostram a presença do bacilo, ou sinais sugestivos da doença. 4,[12][13][14][15] O teste tuberculínico, também chamado de teste de Mantoux, pode ser outro procedimento para auxílio ao diagnostico a TB. O ensaio inclui a inoculação intradermica de um derivado proteico purificado de M. tuberculosis para avaliar a resposta imunitária celular aos antígenos.…”

“…Uma reação inflamatória ocorre em pacientes sensibilizados pelo micro-organismo. 15 Para parotidite tuberculosa o diagnóstico é oriundo da análise histopatológica. Estudo de imagens como a ultrassonografia, a ultrassonografia com Doppler colorido, tomografia computadorizada e ressonância magnética, contribuem substancialmente no diagnóstico da TB na glândula parótida.…”