Tuberculosis-A common disease with uncommon oral features Report of two cases with a detailed review of literature

Tuberculosis is described as “king of diseases” in the Vedas and has been mentioned by Sushruta and Chakra in 600 B.C. Tuberculosis is a chronic infectious disease of worldwide prevalence, caused by Mycobacterium Tuberculosis. The primary site of infection is usually the lungs, although it can affect any part of the body, including the oral cavity. Although oral manifestations of tuberculosis are rare, clinicians should be aware of their possible occurrence in their patient population in the form of ulcer, granulomas, involvement of the salivary glands and temporomandibular joints, osteomyelitis, desquamative gingivitis and tubeculous lymphadenitis. Such awareness can aid in diagnosing tuberculosis at an early stage, thereby preventing systemic complications and potential contaminations. This paper deals with two cases of tuberculosis diagnosed on the basis of oral manifestations, thereby emphasizing the importance of the dentist’s role in diagnosis of a multisystemic disorder. Keywords— Tuberculosis, Oral manifestations, chronic granulomatous disease

[1]  A. Bhatt,et al.  Tuberculous osteomyelitis of the mandible: a case report. , 2008, International journal of paediatric dentistry.

[2]  G. Favia,et al.  Oral tuberculosis: a clinical evaluation of 42 cases. , 2008, Oral diseases.

[3]  T. Akcam,et al.  Primary parotid tuberculosis mimicking parotid neoplasm: a case report , 2008, Journal of medical case reports.

[4]  P. Das,et al.  Primary Lingual Tuberculosis Mimicking Malignancy: A Report Of Two Cases And Review Of Literature , 2006 .

[5]  B. Karthikeyan,et al.  Primary tuberculous gingival enlargement: a rare entity. , 2006, Journal.

[6]  S. Seçkın,et al.  TUBERCULOUS PAROTITIS: CAN BE LEFT SILENT FOR A LONG TIME? , 2006 .

[7]  I. Miziara Tuberculosis affecting the oral cavity in Brazilian HIV-infected patients. , 2005, Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics.

[8]  I. Khushk,et al.  Primary tuberculosis of tongue. , 2003, Journal of the College of Physicians and Surgeons--Pakistan : JCPSP.

[9]  A. Suleiman Tuberculous parotitis: report of 3 cases. , 2001, The British journal of oral & maxillofacial surgery.

[10]  V. Ramesh Tuberculoma of the tongue presenting as macroglossia. , 1997, Cutis.

[11]  V. Diwan,et al.  Protective effect of BCG against tuberculous meningitis and miliary tuberculosis: a meta-analysis. , 1993, International journal of epidemiology.

[12]  P. Kar,et al.  Peripheral lymph node tuberculosis: A review of 80 cases , 1990, The British journal of surgery.

[13]  J. Bene,et al.  [Tuberculosis of the tongue]. , 1960, Tuberkulozis.

[14]  H. Thilander,et al.  Tuberculosis of the mouth and the surrounding tissues. , 1956, Oral surgery, oral medicine, and oral pathology.

[15]  M. Kalra,et al.  A Disguised Tuberculosis in Oral Buccal Mucosa , 2011, Dental research journal.

[16]  G. Bakhshi,et al.  Primary Tuberculosis of Parotid Gland Mimicking Parotid Tumour , 2009 .

[17]  K. K. Tan Tuberculous lymphadenitis in Singapore. , 1988, Singapore medical journal.

[18]  Mani Nj Tuberculosis initially diagnosed by asymptomatic oral lesions. Report of three cases. , 1985 .

[19]  D. Sawyer,et al.  Primary tuberculous osteomyelitis of the mandible. , 1983, Journal of maxillofacial surgery.

[20]  J. Dipalma Drugs for tuberculosis. , 1966, RN.

[21]  M. A. Shengold,et al.  Oral tuberculosis. , 1951, Oral surgery, oral medicine, and oral pathology.