The Turkish Journal of Ear Nose and Throat

Yazarlar: Özgür Yiğit, Uğur Çınar, Berna Uslu Coşkun, Tülay Başak

Konular:-

Anahtar Kelimeler:Oral ulcer/microbiology,Tonguediseases/microbiology,Tuberculosis,Oral/etiology,Tuberculosis,Ulmonary/complications.

Özet: A 33 year old male patient was admitted to our hospital with painless ulcer on the tongue. The lesion was 2x3 cm necrotic, whitish ulcer on the anterior part of the ventral surface of the tongue. In further investigation pulmonary tuberculosis (Tbc) was diagnosed in the patient. The culture of the biopsy specimen and the sputum revealed acid fast bacilli. The histopathologic examination of the biopsy specimen showed tubercles consisting of epithelioid granulomas with caseous necrosis and Langhans giant cells. The leasion of the tongue was thought to be an extrapulmonary manifestation of pulmonary Tbc. Antituberculous therapy was initiated and the ulcer regressed after 2 months. In the differential diagnosis of non healing oral ulcers, Tbc should also be considered, especially for high risk groups of persons living in a high risk country for Tbc.

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