Ulcer in the Disguise-A Rare Case Report
Keywords:Tuberculosis, ulcer, Langhans cells, epithelioid cells
Tuberculosis (Tb) is an infectious disease which usually affects the pulmonary system and sometimes occurs
in other body organs including the oral cavity. The present article is on a case study of a 25-year female
diagnosed with TB osteomyelitis which presented a non-healing and non-painful ulcer both intra and extra
orally. The diagnosis was confirmed based on histopathology. The patient underwent anti-TB therapy and
her oral and systemic conditions improved rapidly. Although oral manifestations of tuberculosis are rare,
clinicians should include them in the differential diagnosis of various types of oral ulcers. An early diagnosis
with prompt treatment can prevent complications and potential contaminations. Tuberculosis of the oral
cavity is rare and have become a forgotten diagnosis of oral lesions. Dental practitioners need to be aware
that TB may occur in the oral cavity and should be considered in the differential diagnosis of any ulcerated,
indurated non-healing lesion of the oral cavity, especially in lower socioeconomic groups. Besides, efforts
should be made to control oral TB by early detection and referral of the patient to a physician for proper
management. Clinicians are to be careful about ulcers in disguise.
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