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 |
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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. |
doi_str_mv | 10.5005/jp-journals-10024-1287 |
format | Article |
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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.</description><identifier>ISSN: 1526-3711</identifier><identifier>EISSN: 1526-3711</identifier><identifier>DOI: 10.5005/jp-journals-10024-1287</identifier><identifier>PMID: 23579911</identifier><language>eng</language><publisher>India</publisher><subject>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</subject><ispartof>The journal of contemporary dental practice, 2013, Vol.14 (1), p.137-139</ispartof><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3077-a353052df689cbbb1b62e81636cff58d113b7f7f41dff2c4c9e764ca1a89f0583</citedby><cites>FETCH-LOGICAL-c3077-a353052df689cbbb1b62e81636cff58d113b7f7f41dff2c4c9e764ca1a89f0583</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23579911$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gelli, Vamsi</creatorcontrib><creatorcontrib>Mutalik, Sunil S</creatorcontrib><creatorcontrib>Mutalik, Vimi Sunil</creatorcontrib><creatorcontrib>Manyam, Ravikant</creatorcontrib><title>Primary gingival tuberculosis diagnosis: a difficult endeavor</title><title>The journal of contemporary dental practice</title><addtitle>J Contemp Dent Pract</addtitle><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.</description><subject>Antibiotics, Antitubercular - administration & dosage</subject><subject>Antibiotics, Antitubercular - therapeutic use</subject><subject>Antitubercular Agents - administration & dosage</subject><subject>Antitubercular Agents - therapeutic use</subject><subject>Dentistry</subject><subject>Diagnosis, Differential</subject><subject>Female</subject><subject>Gingival Diseases - microbiology</subject><subject>Gingival Hemorrhage - microbiology</subject><subject>Gingivitis - microbiology</subject><subject>Humans</subject><subject>Isoniazid - administration & dosage</subject><subject>Isoniazid - therapeutic use</subject><subject>Mycobacterium</subject><subject>Pyrazinamide - administration & dosage</subject><subject>Pyrazinamide - therapeutic use</subject><subject>Rifampin - administration & dosage</subject><subject>Rifampin - therapeutic use</subject><subject>Tuberculosis, Oral - diagnosis</subject><subject>Young Adult</subject><issn>1526-3711</issn><issn>1526-3711</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1Lw0AQhhdRbK3-hZKjl-jOfiaCByn1Awp60POyu9ktCWkSd5uC_97EtuLN07zDvO_M8CA0B3zDMea3VZdWbR8aXccUMCYsBZLJEzQFTkRKJcDpHz1BFzFWg40Sic_RhFAu8xxgiu7fQrnR4StZl8263Ok62fbGBdvXbSxjUpR63YzqLtFD4305TLaJawqnd224RGd--MBdHeoMfTwu3xfP6er16WXxsEotxVKmmnKKOSm8yHJrjAEjiMtAUGG951kBQI300jMovCeW2dxJwawGneUe84zO0PV-bxfaz97FrdqU0bq61o1r-6hAZJgxyST530qJkCTHZLSKvdWGNsbgvOr2MBRgNVJWVaeOlNUPZTVSHoLzw43ebFzxGztipd_cB3uR</recordid><startdate>2013</startdate><enddate>2013</enddate><creator>Gelli, Vamsi</creator><creator>Mutalik, Sunil S</creator><creator>Mutalik, Vimi Sunil</creator><creator>Manyam, Ravikant</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7QL</scope><scope>C1K</scope></search><sort><creationdate>2013</creationdate><title>Primary gingival tuberculosis diagnosis: a difficult endeavor</title><author>Gelli, Vamsi ; Mutalik, Sunil S ; Mutalik, Vimi Sunil ; Manyam, Ravikant</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3077-a353052df689cbbb1b62e81636cff58d113b7f7f41dff2c4c9e764ca1a89f0583</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Antibiotics, Antitubercular - administration & dosage</topic><topic>Antibiotics, Antitubercular - therapeutic use</topic><topic>Antitubercular Agents - administration & dosage</topic><topic>Antitubercular Agents - therapeutic use</topic><topic>Dentistry</topic><topic>Diagnosis, Differential</topic><topic>Female</topic><topic>Gingival Diseases - microbiology</topic><topic>Gingival Hemorrhage - microbiology</topic><topic>Gingivitis - microbiology</topic><topic>Humans</topic><topic>Isoniazid - administration & dosage</topic><topic>Isoniazid - therapeutic use</topic><topic>Mycobacterium</topic><topic>Pyrazinamide - administration & dosage</topic><topic>Pyrazinamide - therapeutic use</topic><topic>Rifampin - administration & dosage</topic><topic>Rifampin - therapeutic use</topic><topic>Tuberculosis, Oral - diagnosis</topic><topic>Young Adult</topic><toplevel>online_resources</toplevel><creatorcontrib>Gelli, Vamsi</creatorcontrib><creatorcontrib>Mutalik, Sunil S</creatorcontrib><creatorcontrib>Mutalik, Vimi Sunil</creatorcontrib><creatorcontrib>Manyam, Ravikant</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>The journal of contemporary dental practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gelli, Vamsi</au><au>Mutalik, Sunil S</au><au>Mutalik, Vimi Sunil</au><au>Manyam, Ravikant</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Primary gingival tuberculosis diagnosis: a difficult endeavor</atitle><jtitle>The journal of contemporary dental practice</jtitle><addtitle>J Contemp Dent Pract</addtitle><date>2013</date><risdate>2013</risdate><volume>14</volume><issue>1</issue><spage>137</spage><epage>139</epage><pages>137-139</pages><issn>1526-3711</issn><eissn>1526-3711</eissn><abstract>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.</abstract><cop>India</cop><pmid>23579911</pmid><doi>10.5005/jp-journals-10024-1287</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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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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