Gingiva as the primary site of extrapulmonary tuberculosis: A rare case report with brief review of literature

Autor: Nakkeeran Adhithya, Srinivasan Poovan Kirubanidhi Kennedy Babu, Grace Tara Paul, Kadathanadan Vachali Soorya
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Journal of Indian Society of Periodontology, Vol 28, Iss 1, Pp 132-137 (2024)
Druh dokumentu: article
ISSN: 0972-124X
0975-1580
DOI: 10.4103/jisp.jisp_134_23
Popis: Multiple strains of Mycobacteria cause tuberculosis (TB), a chronic, specific infectious granulomatous disease. It mainly occurs with pulmonary involvement when compared to extrapulmonary involvement. Primary oral occurrence is uncommon and oral lesions are usually secondary to pulmonary involvement. When there are no active pulmonary clinical manifestations of TB, the diagnosis of the very rare entity of primary gingival TB poses a great challenge to clinicians. In this case report, we discuss a case of primary gingival TB in a 24-year-old lactating mother. This article briefs the onset and course of the lesion during pregnancy and postpartum, elaborates the pathway to diagnosis, various investigations performed and the regimen of antitubercular therapy for 6 months, followed by complete resolution of the lesion without recurrence. This report also describes the significance of considering TB as a differential diagnosis in oral lesions and the various diagnostic methods available. It also emphasizes the sole importance of histopathology in the early detection of the lesion and its management.
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