Lingual tuberculosis in an HIV/AIDS patient

Rodríguez, José Yesid; Rodríguez, Gerson J.; Álvarez-Moreno, Carlos

doi:10.1016/j.ijid.2017.03.003

Cited by 4 publications

(4 citation statements)

References 2 publications

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“…Subjects with immunosuppressing conditions and children with immature immunity are at higher risk of developing active TB than immunocompetent subjects. Infection with HIV is the greatest single risk factor either for the progression of latent infection to active TB or for acquisition of new Mycobacterium tuberculosis infection [11,14].…”

Section: Discussionmentioning

confidence: 99%

“…Failure to express well-defined granulomas with giant cells is the result of immune suppression due to HIV coinfection. But it is important to note that HIV-Mycobacterium tuberculosis co-infected subjects are frequently negative to tuberculin skin testing, acid fast bacilli are very scant in their sputum although sputum culture invariably confirms pulmonary TB, and pulmonary TB granulomas are not always present [14].…”

Section: Discussionmentioning

confidence: 99%

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Clinical Manifestation of Oral Tuberculosis in HIV Patient: A Review Article

Gofur¹,

Gofur²

2021

J Dental Sci Res Rep

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Introduction: Tuberculosis (TB) is a disease that has become a global problem. the incidence of TB cases decreased by 9% from 2015 to 2019. In general, TB disease is divided into 2, namely latent TB and active TB. Latent TB indicates the presence of Mycobacterium Tuberculosis bacteria but is in an inactive/ inactive phase, but in this type of TB there is a 10% chance that these bacteria will be active. Meanwhile, active TB shows active bacterial activity so that it can infect other hosts. Objective: This literature study is to determine the clinical manifestations of tuberculosis in the oral cavity in HIV patients. Discussion: Mycobacterium tuberculosis is slowly replicating intracellular pathogen in macrophages that elicits a T cell immune response mediated by antigen-specific CD4+ and CD8+ T cells. This immune response may eliminate the Mycobacterium tuberculosis, but more frequently Mycobacterium tuberculosis persists in a latent form, constituting a reservoir of inactive Mycobacterium tuberculosis that under certain circumstances may become active. TB may occur at any stage of HIV disease and, as in the case presented here, may be the first indicator of HIV infection. HIV-seropositive subjects and particularly those HIV-seropositive subjects with low CD4+ T cell counts more frequently have extrapulmonary TB than do HIV-seropositive subjects or HIV-seropositive subjects with high CD4+ T cell counts. Conclusion: Patients who suffer from HIV may be associated with the tuberculosis infection. The TB infection may be known from the oral manifestation in HIV patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Clinical Manifestation of Oral Tuberculosis in HIV Patient: A Review Article

Gofur¹,

Gofur²

2021

J Dental Sci Res Rep

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“…Both immunocompetent and immunodeficiency host can be infected by Mycobacterium Spp. [ 27 , 28 ]. Lateral border of the oral tongue is the most common affected site [ 23 , 27 ] while the base of tongue was also identified [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Lingual Abscess: Predisposing Factors, Pathophysiology, Clinical Manifestations, Diagnosis, and Management

Srivanitchapoom

Yata

2018

International Journal of Otolaryngology

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Lingual abscess is a rare disorder, and current knowledge regarding clinical manifestations and treatment modalities has not been well established. This study presented 6 cases of lingual abscess patients between January 2012 and December 2017. There were three men and three women. Median age was 54 years. Odynophagia and local pain were the common presenting symptoms. Local trauma was the main predisposing factor of anterior abscess, while lingual tonsillitis or infected thyroglossal cyst was the predisposing factor of posterior abscess. An impending airway obstruction was identified in two patients, requiring tracheostomy. All patients achieved an excellent outcome with a combination of surgical drainage and proper antibiotics as well as using proper investigation for detecting unusual areas of lingual abscess. According to the data from the study's results and review of the relevant literature, an abscess located at the anterior two-thirds of the tongue is easy to diagnose while the posterior one-third of the tongue abscess is relative difficulty. Using contrast-enhanced computed tomography increases diagnostic accuracy, especially on the tongue base and deep space infection. The management strategies include (1) protecting the airway, (2) draining the abscess by needle aspiration or surgery, and (3) administering antibiotics early. Our series showed a superiority of surgical drainage when the patients present with marked tissue edema, deep loculated infection, and airway obstruction.

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“…Наиболее вовлеченными областями были боковые поверхности, кончик, спинка и основание языка. Диагноз подтвержден бактериологически во всех случаях легочной локализации и в 4 случаях первичного поражения языка [49,50]…”

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Tuberculous Glossitis - A Rare Extrapulmonary Localization

Kukurika

2021

Juvenis scientia

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Tuberculous glossitis is very rare, even in countries with a high tuberculosis burden. The tongue is the most frequent lesion in the structure of oral forms, the frequency of which does not exceed 0.1%. Allocate sputtogenic and hematogenous pathways of infection. The protective function of saliva, due to enzymes and antibodies in its composition, the pH of the oral cavity, the peculiarities of the blood supply, the presence of variable saprophytic microflora, a small number of lymphoid follicles, complicates the inoculation of mycobacterium tuberculosis. However, defects of the mucous membrane due to trauma, invasive interventions and chronic nonspecific inflammation in the oral cavity create favorable conditions for the vital activity of the pathogen. Analyzed 38 clinical cases of tuberculous glossitis from foreign practice, presented their brief description. The issue of timely detection and differential diagnosis of tuberculous glossitis is relevant in the practice of doctors of various profiles. Any lesion of the tongue should be carefully investigated, diagnostics should include laboratory, histological and radiation methods.

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Lingual tuberculosis in an HIV/AIDS patient

Abstract: Figure 1. (A) Photograph of the patient's tongue showing an ulcer on the tip of the tongue. (B) Hematoxylin and eosin staining. (C) Clinical response at 8 months after treatment.

Cited by 4 publications

References 2 publications

Clinical Manifestation of Oral Tuberculosis in HIV Patient: A Review Article

Clinical Manifestation of Oral Tuberculosis in HIV Patient: A Review Article

Lingual Abscess: Predisposing Factors, Pathophysiology, Clinical Manifestations, Diagnosis, and Management

Tuberculous Glossitis - A Rare Extrapulmonary Localization

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