Primary oral tuberculosis - A case report
Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...
A 12-year-old girl was referred to the dental department for the assessment of a long-standing non healing ulcer on the labial mucosa of the lower lip. The lesion was first observed by the patient 2 years ago; however, the lesion was brought to the notice of the parents 6 months back which prompted them to seek the treatment. Submandibular and submental groups of lymph nodes were examined and they were nonpalpable and nontender.

Oral examination revealed a round nonhealing ulcer on the labial mucosa of the lower lip on the left side measuring 4 cm × 4 cm. The ulcer was grayish-white in color with irregular borders. The edges were thin and undermined with slight induration at the base. There was no tenderness on palpation. An incisional biopsy was performed under local anesthesia. A preliminary diagnosis of TB/sarcoidosis was made. Results of Mantoux test interpreted 48 h after tuberculin injection (10 T.U) revealed erythema of 16 mm and induration of 18 mm. The chest radiograph revealed the absence of foci of infection indicating no pulmonary involvement. Thus, the diagnosis of primary TB was confirmed.

Treatment with anti-tubercular drugs was initiated. The patient was prescribed isoniazid 150 mg, rifampin 300 mg, pyrazinamide 750 mg, and ethambutol 400 mg daily for 2 months. The second phase of the treatment consisted of isoniazid 150 mg and rifampin 300 mg daily for 4 months. Lesion almost resolved within 3 weeks of initiation of the treatment.

Source: http://www.contempclindent.org/article.asp?issn=0976-237X;year=2020;volume=11;issue=1;spage=79;epage=82;aulast=Sachdeva
1 share
Like
Comment
Share