Tuberculosis affecting the oral cavity in Brazilian HIV-infected patients

An unusual focus of extra pulmonary tuberculosis

“…This is especially important in the present times, because the low incidence of orofacial tuberculosis (0.05% to 5% of all tuberculosis cases) can increase rapidly, if the lesion remains undiagnosed. 6 Also a detailed medical history with careful questioning is mandatory so as to avoid missing out on some vital aspect of the disease suffered in the past. Not only can it cause an epidemic, but because of improper treatment, the complications of tuberculosis can be manifolds, causing severe disfigurement, disability, and, at times, can prove to be life-threatening.…”

“…6 TB of the head and neck has been documented extensively. A 10-year retrospective study in India 165 cases of TB of the head, neck, and oral cavity.…”

Primary tuberculosis of the tongue: A rare nodular presentation

“…3 Thus, primary tuberculosis of the oral cavity is exceedingly rare with the tongue being the most commonly affected site. 4,5 Tuberculosis of the tongue almost always presents as a chronic, non-healing ulceration. 3, 4 We have not been able to identify any case of lingual tuberculosis presenting as a well-defined mass in a review of the medical literature.…”

Ulcération linguale avec dysphagie à l’origine du diagnostic d’une tuberculose pulmonaire

“…L'infection par le VIH et la TB accélèrent mutuellement leur progression et forment une association meurtrière [3]. La TB est ainsi une cause majeure de mortalité chez les sujets VIH-positifs [4]. En 2009, la prévalence de la TB en France était de 8,2 cas pour 100 000 habitants [5].…”

“…Tous les autres organes ou systèmes peuvent être affectés. Les formes extra-pulmonaires sont actuellement plus fréquentes, du fait de la co-infection par le VIH qui favorise la dissémination hématogène du M.tb [4][5][6][7][8]. Il existe des signes généraux : fièvre vespérale, anorexie, amaigrissement, asthénie, sueurs nocturnes quelle que soit la localisation.…”