Primary gingival tuberculosis diagnosis: a difficult endeavor

To highlight the importance of considering tuberculosis in the differential diagnosis even in the absence of confirmation from several investigations and diagnostic aides. Tuberculosis is a common infectious granulomatous disease caused by various strains of mycobacteria. An oral lesion when seen in...

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Veröffentlicht in:The journal of contemporary dental practice 2013, Vol.14 (1), p.137-139
Hauptverfasser: Gelli, Vamsi, Mutalik, Sunil S, Mutalik, Vimi Sunil, Manyam, Ravikant
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container_issue 1
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container_title The journal of contemporary dental practice
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creator Gelli, Vamsi
Mutalik, Sunil S
Mutalik, Vimi Sunil
Manyam, Ravikant
description To highlight the importance of considering tuberculosis in the differential diagnosis even in the absence of confirmation from several investigations and diagnostic aides. Tuberculosis is a common infectious granulomatous disease caused by various strains of mycobacteria. An oral lesion when seen in association with tuberculosis is very rare and in most cases is noticed secondary to pulmonary forms. We report a case of primary gingival tuberculosis in 20-year-old female patient who presented with treatment resistant gingivitis. Patient had no evidence of disease elsewhere in the body and several diagnostic tests also failed to reveal the presence of the causative organism. Resolution of gingivitis was noted following a therapeutic trial of antitubercular drugs. Therefore the importance of including tuberculosis in the differential diagnosis of inflammatory disorder of the gingiva is very essential in order to avoid one of the most lethal forms of infections often overlooked. It is essential to consider tuberculosis as one of the differential diagnosis in India even when several diagnostic tests are negative for tuberculosis.
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subjects Antibiotics, Antitubercular - administration & dosage
Antibiotics, Antitubercular - therapeutic use
Antitubercular Agents - administration & dosage
Antitubercular Agents - therapeutic use
Dentistry
Diagnosis, Differential
Female
Gingival Diseases - microbiology
Gingival Hemorrhage - microbiology
Gingivitis - microbiology
Humans
Isoniazid - administration & dosage
Isoniazid - therapeutic use
Mycobacterium
Pyrazinamide - administration & dosage
Pyrazinamide - therapeutic use
Rifampin - administration & dosage
Rifampin - therapeutic use
Tuberculosis, Oral - diagnosis
Young Adult
title Primary gingival tuberculosis diagnosis: a difficult endeavor
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