| Autor: |
Sevilla-Fuentes S; Hospital General de Zona 1 'Emilio Varela Luján', Zacatecas 98000, Mexico., Mendoza-Vargas LÁ; Hospital General de Zona 1 'Emilio Varela Luján', Zacatecas 98000, Mexico., Araiza-Rodríguez JF; Hospital General 'Dr. Manuel Gea González', Mexico City 14080, Mexico., Berthaúd-González B; Hospital General de Zacatecas 'Luz González Cosío', Zacatecas 98160, Mexico., Falfán-Valencia R; Laboratorio HLA, Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas, Mexico City 14080, Mexico., Bautista-Becerril B; Laboratorio HLA, Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas, Mexico City 14080, Mexico.; Sección de Estudios de Posgrado e Investigación, Escuela Superior de Medicina, Instituto Politécnico Nacional, Mexico City 11340, Mexico. |
| Abstrakt: |
A 78-year-old man with a previous diagnosis of rheumatoid arthritis on prolonged treatment with corticosteroids presented with intense and progressive pain at the cervical level that prevented him from resting his head and walking, in addition to an ulcerative lesion covering 80% of the lingual area that was previously treated as oral candidiasis without improvement. On arrival, with no clinical or serological data of rheumatoid arthritis, immunosuppressive treatment was suspended, and a biopsy of the oral cavity was requested, confirming the diagnosis of lingual tuberculosis, an extremely rare disease, occurring in less than 1% of extrapulmonary cases. MRI of the cervical spine showed a crush fracture of the C6 and C7 bodies associated with spondylitis of probably infectious etiology that required surgical treatment, and histopathological studies confirmed Pott's disease. The patient displayed no evidence of pulmonary tuberculosis from arrival until the end of the follow-up. |
