Primary tuberculosis of the TMJ: presentation of a case and literature review

Helbling, C.; Lieger, Olivier; Smolka, Wenko; Iizuka, Tetsuya; Kuttenberger, Johannes

doi:10.1016/j.ijom.2010.03.023

Cited by 32 publications

(27 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The clinical appearance of TB of the TMJ is non-specific and may be similar to that of arthritis, osteomyelitis or chronic joint diseases. The most common symptom is a painful preauricular swelling (unresponsive to antibiotics), associated with Trismus (9), as seen in our “Case 1”. The involvement of the mandible by tuberculous infection is rare as it contains less cancellous bone (10).…”

Section: Discussionmentioning

confidence: 70%

Osteomyelitis affecting mandible in tuberculosis patients.

Karjodkar¹,

Saxena²,

Maideo³

et al. 2012

J Clin Exp Dent

View full text Add to dashboard Cite

Tuberculosis (TB) is a frequent health problem in developing nations. It has two forms pulmonary and secondary causing other kinds of TB, collectively denoted extra pulmonary tuberculosis. The prevalence of extra pulmonary TB has increased in the last couple of years. Maxillofacial manifestations of tuberculosis form nearly 10% of all extra pulmonary manifestations of the disease. Extra pulmonary TB involving maxillofacial region is our prime concern. Very few cases of TB of the temporomandibular joint (TMJ) and mandible have been reported in literature. The clinical appearance of TB infection of the TMJ has been described as unspecific, resembling arthritis, osteomyelitis, cancer or any kind of chronic joint diseases. This article describes two cases where the bone, namely TMJ and angle of mandible are affected by tuberculosis. In addition to conventional radiographs we used Cone Beam Computed tomography (CBCT) to explore the third dimension of the lesion. Key words:Tuberculosis, bone, osteomyelitis, CBCT.

show abstract

Section: Discussionmentioning

confidence: 70%

Osteomyelitis affecting mandible in tuberculosis patients.

Karjodkar¹,

Saxena²,

Maideo³

et al. 2012

J Clin Exp Dent

View full text Add to dashboard Cite

show abstract

“…The treatment for extra pulmonary tuberculosis is the same as for pulmonary tuberculosis. [19] The prognosis of the nasopharynx tuberculosis is pretty good with anti-tuberculosis therapy if treatment duration is not less than 6 months. Clinical improvement in patients with this treatment as soon as possible and provide healing without sequelae.…”

Section: Discussionmentioning

confidence: 99%

Primary tuberculosis of the nasopharynx: A rare case and literature review

et al. 2012

View full text Add to dashboard Cite

The isolated pulmonary involvement as well as upper respiratory tract involvement is declining in consequence of anti-tuberculosis treatment and vaccine programs. However, the incidence of tuberculosis is increasing in less developed and in some developed cities. A 56-year-old woman presented with 5-6 years history of nasal obstruction, sleep with open mouth, and snoring. The mass of the nasopharynx biopsy was performed under local anesthesia. The biopsy material's histopathological examination showed features of tuberculosis and diagnosis confirmed as tuberculosis by the pathologists. Primary nasopharyngeal tuberculosis without the lung involvement is very rare; otorhinolaryngologists should keep in mind the possibility of tuberculosis in the differential diagnosis of nasopharyngeal mass as the incidence of tuberculosis in developed countries is steadily increasing.

show abstract

“…An estimated 14 million cases occurred in 2009, with especially high prevalence rates in Asia and Africa. 4 As a result, tuberculous arthritis is often diagnosed late and is followed by joint destruction with limitation of movement. However, the infection can also occur in extrapulmonary sites such as lymph nodes, spine, and joints.…”

mentioning

confidence: 99%

“…4,5 Because of the nonspecific presentation, tuberculous arthritis of the TMJ may be misdiagnosed as tumor, bacterial arthritis, or osteomyelitis. Most patients present with a unilateral painful preauricular swelling, occasionally associated with trismus.…”

mentioning

confidence: 99%

“…Most patients present with a unilateral painful preauricular swelling, occasionally associated with trismus. 4,5 Because most cases of tuberculous arthritis initially present with synovitis, subsequently progressing to synovial proliferation, MRI can also be used to show hypertrophic synovium, which is often hypointense on T2-weighted images. In the great majority of individuals, empirical antibiotics are used first but are usually ineffective.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Radiology Quiz Case 1: Diagnosis

2012

Arch Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

Primary tuberculosis of the TMJ: presentation of a case and literature review

Cited by 32 publications

References 9 publications

Osteomyelitis affecting mandible in tuberculosis patients.

Osteomyelitis affecting mandible in tuberculosis patients.

Primary tuberculosis of the nasopharynx: A rare case and literature review

Radiology Quiz Case 1: Diagnosis

Contact Info

Product

Resources

About