scholarly journals Tubercular Ulcer of Tongue in an Elderly Patient Masquerading as a Traumatic Ulcer

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Ramesh Parajuli ◽  
Sushna Maharjan
Keyword(s):  
Elderly Patient ◽  
Developing Countries ◽  
Oral Cavity ◽  
Local Anesthesia ◽  
Histopathological Examination ◽  
Extrapulmonary Tuberculosis ◽  
Elderly Male ◽  
Lateral Border ◽  
Uncommon Condition ◽  
Tubercular Lymphadenitis

Tuberculosis is still one of the most prevalent diseases in developing countries like Nepal. However, due to the effectiveness of DOTS therapy, vaccination, and education, the prevalence of tuberculosis has fallen in recent years. Although the pulmonary and extrapulmonary tuberculosis, especially the tubercular lymphadenitis, is still very common in our country, the tuberculosis of oral cavity is an uncommon condition. We present a case of an elderly male who presented with the complaint of nonhealing ulcer of lateral border of tongue for 2-month duration which was masquerading as a traumatic ulcer due to sharp teeth adjacent to the lesion. Deep biopsy was taken under local anesthesia. Histopathological examination revealed that it was tuberculosis. Antitubercular therapy was then started which cured the lesion.

scholarly journals Tuberculoma of the Tongue Presenting as Hemimacroglossia

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
S. P. S. Yadav ◽  
Arpit Agrawal ◽  
J. S. Gulia ◽  
Sunita Singh ◽  
Arsh Gupta ◽  
...  
Keyword(s):  
Mycobacterium Tuberculosis ◽  
Oral Cavity ◽  
Clinical Diagnosis ◽  
Histopathological Examination ◽  
Extrapulmonary Tuberculosis ◽  
Slow Process ◽  
Common Site ◽  
Rare Presentation ◽  
Antitubercular Drugs ◽  
Carcinoma Of Tongue

The underdiagnosis of extrapulmonary tuberculosis lesions, along with an emerging global resistance to antitubercular drugs, warrants an increased awareness of the involvement ofMycobacterium tuberculosisin atypical lesions of oral cavity. Tongue is the most common site of oral tuberculosis. We report a rare presentation of lingual tuberculosis in a 65-year-old male, a chronic tobacco chewer, who came to us with swelling of the tongue which apparently looked like hemimacroglossia, leading to the clinical diagnosis of submucosal carcinoma of tongue. Enlargement of tongue is a slow process resulting from gradual invasion and lodging of bacilli in the tongue. Biopsy and histopathological examination revealed tuberculous etiology of the lesion and the patient responded well to antitubercular therapy.

scholarly journals Sublingual sialocele in a cat

2019 ◽  
Vol 5 (1) ◽  
pp. 205511691983324
Author(s):  
Jean Bassanino ◽  
Sophie Palierne ◽  
Margaux Blondel ◽  
Brice S Reynolds
Keyword(s):  
Salivary Gland ◽  
Surgical Treatment ◽  
Oral Cavity ◽  
Fine Needle Aspiration ◽  
Histopathological Examination ◽  
Needle Aspiration ◽  
Resected Specimen ◽  
Fine Needle ◽  
Case Summary ◽  
Uncommon Condition

Case summary A 1-year-old male neutered cat was presented with a right-sided swelling of the floor of the oral cavity, causing dysphagia and hypersialorrhoea for 2 months. Fine-needle aspiration of the mass and CT were suggestive of a right sublingual sialocoele with no obvious cause. Surgical resection of the ipsilateral sublingual–mandibular salivary gland complex, as well as marsupialisation of the mucocoele, was performed. The cat recovered uneventfully. Histopathological examination of the resected specimen confirmed the diagnosis. No sign of recurrence was reported 7 months after surgery. Relevance and novel information Overall, sialocoeles are rare in cats but sublingual mucocoele is the most common form. Diagnosis is usually straightforward and the use of CT to help localise the affected site and possibly identify a cause has been infrequently described. Surgical treatment recommendations have been updated, which also makes a refresher of this uncommon condition likely to be of interest to the feline practitioner.

scholarly journals A Case of Calvarial Tuberculosis in an Elderly Male Patient

2021 ◽  
Vol 10 (1) ◽  
pp. 376-379
Author(s):  
Miqdad Haider ◽  
Aijaz Zeeshan Khan Chachar ◽  
Nabeel Shafqat ◽  
Waqar Zaheer
Keyword(s):  
Developing Countries ◽  
Male Patient ◽  
Histopathological Examination ◽  
Elderly Male ◽  
Pulmonary Tb ◽  
Rare Manifestation ◽  
Proper Diagnosis ◽  
Extra Pulmonary ◽  
Parietal Bones ◽  
Outer Table

Tuberculosis (TB) is still endemic in developing countries like Pakistan. Tuberculosis affecting bones account for 1% of all TB infections. Calvarial tuberculosis, a rare manifestation of extra-pulmonary TB, accounts for 0.2%-1.3% of all cases of skeletal TB. Even in developing countries where TB is endemic, cases with this type of TB are not commonly seen. The most commonly involved sites are the frontal and parietal bones, with destruction of both the inner and outer table. Proper diagnosis and timely management help in improving prognosis. Here we describe the case of a 70-year-old male patient with pulmonary and extrapulmonary (calvarial) tuberculosis. The diagnosis was established on histopathological examination with demonstration of Acid-Fast Bacilli (AFB) and typical features seen on computed tomography (CT) scan.

scholarly journals Tuberculosis of the Oral Cavity and Associated Structures: The PGIMER Experience

2013 ◽  
Vol 47 (4) ◽  
pp. 214-217
Author(s):  
Vidya Rattan ◽  
Sachin Rai
Keyword(s):  
Developing Countries ◽  
Oral Cavity ◽  
Case Reports ◽  
Extrapulmonary Tuberculosis ◽  
Diagnostic Procedures ◽  
Common Occurrence ◽  
Diagnostic Challenge ◽  
Jaw Bone ◽  
To Come ◽  
Slow Growing

ABSTRACT Extrapulmonary tuberculosis of the oral cavity and its associated structures are diagnostic challenge. It is often misdiagnosed by the attending dentist who is the first among clinicians to come across such pathological entity. Lesions are often slow growing and painless and hence are initially neglected. Tubercular osteomyelitis of the jaw bone is a common occurrence in developing countries like India and often these cases first appear in dental out-patient clinic. The purpose of this paper is to highlight the involvement of oral and maxillofacial structures with few case reports and their concurrent diagnostic procedures. How to cite this article Rattan V, Rai S. Tuberculosis of the Oral Cavity and Associated Structures: The PGIMER Experience. J Postgrad Med Edu Res 2013;47(4):214-217.

A non-resolving splenic ‘abscess’ in an elderly male – An unusual manifestation of splenic lymphoma

2020 ◽  
pp. 004947552098130
Author(s):  
Raj K Nagarajan ◽  
Balasubramanian Gopal ◽  
Muhamed Tajudeen ◽  
Sarath C Sistla ◽  
K Balamourougan
Keyword(s):  
Risk Factors ◽  
Splenic Abscess ◽  
Low Grade ◽  
Surgical Drainage ◽  
Elderly Male ◽  
Unusual Manifestation ◽  
Splenic Lymphoma ◽  
Haematogenous Spread ◽  
Uncommon Condition ◽  
Abscess Wall

Splenic abscess is a relatively uncommon condition, posing a diagnostic and therapeutic challenge for the treating physician. It occurs due to haematogenous spread from endocarditis or other septic foci, especially in immune-compromised individuals and diabetics. We describe an elderly male who presented with splenomegaly and low-grade fever with no predisposing factors. Examination revealed a tender splenomegaly. Ultrasonography (US) showed a hypoechoic area within the spleen from which guided aspiration of pus grew Staphylococcus aureus and Klebsiella pneumoniae. Percutaneous drainage and culture-based antibiotics failed to resolve the abscess, obligating surgical drainage. Intraoperative biopsy from the abscess wall was reported as splenic marginal lymphoma. This unusual presentation of lymphoma needs to be considered in splenic abscess without known risk factors.

scholarly journals Treatment of an incarcerated inguinal hernia associated with abdominal tuberculosis in an adult patient

2018 ◽  
Vol 46 (8) ◽  
pp. 3474-3479
Author(s):  
Lin-bo Zhu ◽  
Yuan-yan Zhang ◽  
Jun-qiang Li ◽  
Peng-fei Li ◽  
Peng-bin Zhang ◽  
...  
Keyword(s):  
Developing Countries ◽  
Inguinal Hernia ◽  
English Language ◽  
Pediatric Patients ◽  
Extrapulmonary Tuberculosis ◽  
Abdominal Tuberculosis ◽  
Incarcerated Inguinal Hernia ◽  
Definitive Guideline ◽  
Unusual Finding ◽  
Language Literature

The incidence of tuberculosis is increasing worldwide, especially in developing countries. The prevalence of abdominal tuberculosis has been found to be as high as 12% in people with extrapulmonary tuberculosis. Peritoneal thickening and intestinal adhesions can occur in patients with abdominal tuberculosis. Inguinal hernias are extremely rare in people with abdominal tuberculosis; only 11 cases have been reported in the English-language literature, half of which involved pediatric patients. No definitive guideline on the management of such cases is available. In this report, we describe the unusual finding of an incarcerated inguinal hernia in an adult with abdominal tuberculosis and propose a therapy to treat this complicated disease based on our successful experience.

scholarly journals Tonsillar tuberculosis : A case report

2016 ◽  
Vol 6 (12) ◽  
pp. 1048-1050
Author(s):  
S Karki ◽  
D Karki
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Pulmonary Tuberculosis ◽  
Oral Cavity ◽  
Histopathological Examination ◽  
Giant Cells ◽  
Rare Entity ◽  
Definite Diagnosis ◽  
Active Pulmonary Tuberculosis ◽  
Clinical Differential Diagnosis

Tuberculosis of the oral cavity which is an uncommon occurrence can be primary or secondary. In the absence of active pulmonary tuberculosis, isolated tonsillar tuberculosis is rare. Herein, we report two cases of bilateral tonsillar tuberculosis who presented as recurrent sore throat for which tonsillectomy was done. No active primary pulmonary lesion was found in these cases. Histopathological examination revealed caseating epithelioid granulomas with Langhans giant cells. Ziehl Neelson stain for acid fast bacilli was positive in one case. Tonsillar tuberculosis, though a rare entity, should be considered in the clinical differential diagnosis of tonsillar lesions. Histopathological examination with Ziehl Neelson stain should be performed for definite diagnosis.

scholarly journals Tubulocystic renal cell carcinoma: Report of a rare case

2015 ◽  
Vol 9 (9-10) ◽  
pp. 654 ◽  
Author(s):  
Aanchal Kakkar ◽  
Mehar C. Sharma ◽  
Manpreet Uppal ◽  
Sunil Chumber
Keyword(s):  
Renal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Renal Cell ◽  
Histopathological Examination ◽  
Cystic Neoplasm ◽  
Diagnostic Challenge ◽  
Elderly Male ◽  
Diagnostic Dilemma ◽  
Cystic Neoplasms ◽  
Atypical Cells

Cystic neoplasms of the kidney are rare, and present a unique diagnostic challenge. We report the case of an elderly male who presented with a large cystic neoplasm, which was a diagnostic dilemma clinically and radiologically. Histopathological examination showed a tumour composed of variably sized tubules lined by atypical cells having large round nuclei with prominent nucleoli. Hobnailing was seen at places. Tumour cells were immunopositive for pancytokeratin, vimentin, CD10, CK19 and AMACR, confirming a diagnosis of tubulocystic renal cell carcinoma (TC-RCC).

scholarly journals Retrospective Evaluation of Pediatric Patients With Abdominal Tuberculosis: A Single Center Experience

2020 ◽  
Vol 54 (4) ◽  
pp. 204-211
Author(s):  
Sevgi Yaşar Durmuş ◽  
Gönül Tanır ◽  
Ayşe Seçil Ekşioğlu ◽  
Türkan Aydın Teke ◽  
Yasemin Taşçı Yıldız ◽  
...  
Keyword(s):  
Histopathological Examination ◽  
Extrapulmonary Tuberculosis ◽  
Abdominal Tuberculosis ◽  
Diagnostic Methods ◽  
Mycobacterium Tuberculosis Infection ◽  
Reactive Protein ◽  
Single Center Experience ◽  
Antituberculosis Treatment ◽  
History Of ◽  
The Mean

Objective: Abdominal tuberculosis is a kind of extrapulmonary tuberculosis that can usually occur during the lymphohematogenous spread of first Mycobacterium tuberculosis infection, develop by neighborhood from an abdominal focus or a mesenteric lymph node. The aim of this study is to evaluate pediatric cases diagnosed with abdominal tuberculosis. Material and Methods: Between 2012-2018, seven patients diagnosed with abdominal tuberculosis through patients who diagnosed with extrapulmonary tuberculosis in our hospital, were included in study. Demographic and clinical characteristics, diagnostic methods, commenced treatments and clinical follow up of patients were listed from medical records. Results: Of patients, four were female. The mean age was 144.2 ± 42.7 months. None of the patients had a history of tuberculosis contact. The median complaint time was 20 days (5-180). The most frequent complaint was abdominal pain and the most frequent physical examination finding was abdominal tenderness. Mean white blood cell count was 9.26 x 103 ± 4.77 x 103 μ/L, C reactive protein level: 79.9 ± 54.9 mg/dL, erytrocyte sedimentation rate: 45 ± 30 mm/h. Tuberculin skin test was positive in two patients, interferon gamma releasing assay was positive in three patients, and in two patients, both tests were positive. There were findings suggesting tuberculosis on pulmonary imaging in five patients and abdominal imaging in all patients. Histopathological examination of the specimens of six patients revealed findings consistent with tuberculosis. The presence of M. tuberculosis was confirmed microbiologically in clinical specimens taken from three patients. The most common abdominal tuberculosis type was mesenteric lymphadenitis. The mean time from admission to diagnosis was 15 ± 12.8 days. All patients recieved antituberculosis treatment. Conclusion: Abdominal tuberculosis should be kept in mind, in patients presenting with abdominal complaints lasting more than five days. Ultrasonography and computed tomography are useful to determine abdominal tuberculosis type. The disease can be sucsessfully treated with standart antituberculosis treatment.

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