Stručni rad
https://doi.org/10.15644/asc51/4/7
Tuberculosis of the Oral Cavity Misdiagnosed as Precancerous Lesion
Vanja Vučićević Boras
orcid.org/0000-0003-1651-8069
; Zavod za oralnu medicinu Stomatološkog fakulteta Sveučilišta u Zagrebu, Zagreb, Hrvatska
Dragana Gabrić
orcid.org/0000-0003-0213-1170
; Zavod za oralnu kirurgiju Stomatološkog fakulteta Sveučilišta u Zagrebu, Zagreb, Hrvatska
Ljiljana Smiljanić Tomičević
; Zavod za kliničku imunologiju i reumatologiju Klinike za unutarnje bolesti Medicinskog fakulteta Sveučilišta u Zagrebu; Klinički bolnički centar Zagreb, Zagreb, Hrvatska
Sven Seiwerth
; Zavod za patologiju Medicinskog fakulteta Sveučilišta u Zagrebu; Klinički bolnički centar Zagreb, Zagreb, Hrvatska
Krešimir Gršić
orcid.org/0000-0002-2907-8640
; Odjel za kirurgiju glave i vrata Klinike za tumore Kliničkoga bolničkog centra Sestre milosrdnice, Zagreb, Hrvatska
Božena Šarčević
; Zavod za onkološku patologiju Klinike za tumore Kliničkoga bolničkog centra Sestre milosrdnice, Zagreb, Hrvatska
Božena Lončar Brzak
; Zavod za oralnu medicinu Stomatološkog fakulteta Sveučilišta u Zagrebu, Zagreb, Hrvatska
Emilija Marunica
; Klinika za plućne bolesti Jordanovac Kliničkoga bolničkog centra Zagreb, Zagreb, Hrvatska
Ana Glavina
; Zavod za oralnu medicinu Stomatološkog fakulteta Sveučilišta u Zagrebu, Zagreb, Hrvatska
Sažetak
Introduction: The aim of this case report was to discuss an extremely rare oral lesion as a result of primary pulmonary tuberculosis. Case report: In this case report, the patient with refractory painless ulceration at ventral surface of the tongue was described. Detailed medical history was taken followed by clinical examination of the oral mucosa and palpation of regional lymph nodes. Clinical examination revealed ulceration on the patient’s ventro-lateral surface of the tongue, approximately two centimeters in diameter. Palpation of regional lymph nodes has not revealed enlargement. The toluidine blue test of the suspected lesion was performed at each control examination. Biopsy samples for histopathologic diagnosis were taken three times. The analysis of the first biopsy sample for histopathology revealed a non-specific inflammation, the second biopsy revealed a caseous necrosis
without positive Ziehl-Neelsen staining and the third biopsy revealed a granulomatous inflammation which was highly suspicious of sarcoidosis. During hospitalization, the patient underwent a complete physical examination, and laboratory and radiological diagnostics. Physical chest examination revealed bilaterally coarse crepitations and laboratory findings of his complete blood count revealed normocytic anemia of chronic disease. Radiographic examination of lungs showed multiple small nodules bilaterally and positive direct sputum smear. Conclusion: Although oral tuberculosis is a rare condition, it must be taken into account in differential diagnosis of refractory painless oral ulcers.
Ključne riječi
Tuberculosis, Oral; Tongue, Oral Ulcer; Diagnostic Errors, Tuberculosis, Pulmonary
Hrčak ID:
190895
URI
Datum izdavanja:
18.12.2017.
Posjeta: 2.649 *