Pattern of oral lesions in multidrugs resistant tuberculosis patient and the management: a case report

Rahmatia Djou(1), Riani Setiadhi(2),


(1) Department of Oral Medicine, Faculty of Dentistry, Padjadjaran University, Dr. Hasan Sadikin Hospital, Bandung, Indonesia
(2) Department of Oral Medicine, Faculty of Dentistry, Padjadjaran University, Dr. Hasan Sadikin Hospital, Bandung, Indonesia

Abstract

Objectives: to describe the pattern of oral lesions in MDR TB patient and the management. Methods: A 42-year-old man with history of TB since 8 months before and MDR TB since 1 month. The patient complained of sore tongue since 2 weeks before, accompanied with white plaque on the tongue which could be scrapped off leaving erythema areas. Intraoral examination showed multiple ulcers at lateral and dorsum of the tongue, white plaques on the tongue, buccal mucosa, labial mucosa, and palate. Swab examination from the tongue showed a positive result for Gram-positive Bacillus Bacteria. Tuberculosis ulcers and oral candidiasis were the diagnosis, so that the given treatment were nystatin oral suspension and 0.2% chlorhexidine gluconate mouthwash. Result: Ulcer and white plaques improved within 3 weeks. Conclusion: The clinical manifestation of oral tuberculosis lesions usually non-specific and sometimes similar with other lesions, making it difficult to be diagnosed

Keywords

Multidrugs resistant, oral ulcer, tuberculosis

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References

Wu-Yu H, Yu-Fong CJ, Sun A, et al. Oral tuberculosis.

J Formosan Med Assoc 2017;116: 64-65.

Aoun N, El-haji G, Toum S, et al. Oral ulcer: an

uncommon site in primary tuberculosis. Aust Dent J

;60: 119-122.

Dogra SS, Chander B, Krishna M. Tuberculosis of oral

cavity: a series of one primary and three secondary case.

Indian J Otolaringol Head Neck Surg 2013;65: 275-279.

Kapoor S, Gandhi S, Ghandi N, et al. Oral manifestation

of tuberculosis. CHRISMED J Health Res 2014;1: 11-14.

Ju WT, Zhong LP. Clinical and pathologic analyses of

tuberculosis in the oral cavity: report of 11 cases. Oral

Maxilofac Pathol 2018;125: 44-51.

Jain P, Jain I. Oral manifestation of tuberculosis: step

towards early diagnosis. J Clin Diag Res 2014;6: ZE18-

ZE21.

Ram H, Kumar S, Mehrotra S, et al. Tubercular ulcer:

mimicking squamous cell carcinoma of bucal mucosa.

J Maxilofac Oral Surg 2012;11: 105-108.

Khan MN. Oral manifestations of tuberculosis: the role

of the dentist. SADJ 2015;70: 434-435.

Sharma M, Singh P, Mohit G, et al. Primary lingual

tuberculosis: A diagnostic dilemma. Int J Oral health

Med Res 2015;2: 62-64.

Kakisi OK, Kechagia AS, Kakisis IK, et al. Tuberculosis

of the oral cavity: a systematic review. Europ J Oral

Sci 2010;118: 103-109.

Emekar SM, Damie AS, Iravane J. Tuberculosis of oral

mucosal-A case report. SAARC 2014;10: 37-39.

Kadar N, Namboodiripad A, Haris M, et al. Tuberculosis

of oral cavity. Oral Maxillofac Pathol J 2017;8: 105-107.

Nemes RM, Ianosi ES, Pop CS, et al. Tuberculosis of the

oral cavity. Rom J Morphol Embryol 2015;56: 521-525.

De-Sauza BC, De-Lemos VMA. Oral manifestation of

tuberculosis: a case-report. Braz J Infect Dis 2016;20:

-213.

Nagaraj V, Sashykumar S, Viswanathan S, et al.

Multiple oral ulcers leading to diagnosis of pulmonary

tuberculosis. Eur J Dent 2013;7: 243-245.

Bansal R, Jain A, Mittal S. Orofacial tuberculosis: clinical

manifestations, diagnosis and management. J Fam Med

Primary Care 2015;4: 335-341.

Akpan A, Morgan R. Oral candidiasis: review. Postgrad

Med J 2002;78: 455-459.

Muzurovic S, Babajic E, Masic T, et al. The relationship

between oral hygiene and oral colonisation with candida

species. Med Arh 2012;66: 415-417.

Kumar BS. Chlorhexidine mouthwash: a review. J

Pharm Sci Res 2017;9: 1540-1452.

Bustomi Af, Sylvyana M, Syamsudin E, et al. Parotid gland

tuberculous abscess. J Dentomaxillofac Sci 2016;1: 185-189.

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DOI: https://doi.org/10.20956/jcrdm.v2i2.106

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