Tuberculous osteomyelitis of the mandible with diffuse swelling of the floor of the mouth: a case report

Shuang Bai; Chang-Fu Sun

doi:10.1016/j.joms.2013.11.030

Tuberculous osteomyelitis of the mandible with diffuse swelling of the floor of the mouth: a case report

J Oral Maxillofac Surg. 2014 Apr;72(4):749.e1-6. doi: 10.1016/j.joms.2013.11.030. Epub 2013 Dec 13.

Authors

Shuang Bai¹, Chang-Fu Sun²

Affiliations

¹ Resident, Departments of Oromaxillofacial-Head and Neck Surgery and Oral and Maxillofacial Surgery, China Medical University School of Stomatology, Shenyang, Liaoning, People's Republic of China.
² Professor, Head of Department of Oromaxillofacial-Head and Neck Surgery, Departments of Oromaxillofacial-Head and Neck Surgery and Oral and Maxillofacial Surgery, China Medical University School of Stomatology, Shenyang, Liaoning, People's Republic of China. Electronic address: changfusun@hotmail.com.

PMID: 24635856
DOI: 10.1016/j.joms.2013.11.030

Abstract

Primary orofacial tuberculosis (TB) is uncommon, especially with regard to the jaw. We report an unusual case for which the final diagnosis was tuberculous osteomyelitis of the mandible with cervical tuberculous lymphadenitis. The follow-up examinations for our patient showed complete regression of the swelling and healing of the mandibular lesion after 4 months of TB antibiotic therapy. The purpose of the present study was to alert clinicians to our findings and encourage them to consider oral TB in the differential diagnosis for jaw lesions with multiple enlarged cervical lymph nodes.

Publication types

Case Reports

MeSH terms

Adult
Antitubercular Agents / therapeutic use
Diagnosis, Differential
Follow-Up Studies
Humans
Male
Mandibular Diseases / microbiology*
Mouth Floor / pathology*
Mouth Neoplasms / diagnosis
Neck / pathology
Osteomyelitis / microbiology*
Sublingual Gland Neoplasms / diagnosis
Tuberculosis, Lymph Node / diagnosis*
Tuberculosis, Osteoarticular / diagnosis*

Substances

Antitubercular Agents