open access

Vol 72, No 1-2 (2004)
CASE REPORTS
Published online: 2008-02-18
Submitted: 2013-02-22
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Tuberculosis of tongue in patient with disseminated pulmonary tuberculosis

Agata Michalak, Grzegorz Wojtas, Irena Kidawa, Katarzyna Tylżanowska-Nitek
Pneumonol Alergol Pol 2004;72(1-2):28-32.

open access

Vol 72, No 1-2 (2004)
CASE REPORTS
Published online: 2008-02-18
Submitted: 2013-02-22

Abstract

A 51-year-old man, haevy cigarette smoker, a homeless alcoholic, with disseminated lesions in lungs and with ulceration and infiltration of the tongue is presented. Treatment with antibiotics was ineffective. He was admitted to the otolaryngological department because of suspicion of the tongue cancer. The histological examination of the tongue biopsy revealed tuberculous granuloma. In the pneumonlogical department, on admission the patient was cachectic, with massive oedema and ulceration of the tongue, and enlargement of the cervical lymph nodes. He was fed through the gastric tube. He had severe pain of the tongue demanding treatment with opiatics analgetics. Chest x-ray revealed disseminated lesions in lungs. Antituberculous therapy was administered because of suspicion of tuberculosis of the tongue and lungs. Durning the treatment clinical improvment was observed. Tubercule bacilli were grown in the sputum culture after 6 weeks of observation. After 8 weeks of antituberculous therapy regression of lung lesions and healing of the tongue were observed. The patient continued treatment for 6 months in the Lung Disease Outpatient Clinic.

Abstract

A 51-year-old man, haevy cigarette smoker, a homeless alcoholic, with disseminated lesions in lungs and with ulceration and infiltration of the tongue is presented. Treatment with antibiotics was ineffective. He was admitted to the otolaryngological department because of suspicion of the tongue cancer. The histological examination of the tongue biopsy revealed tuberculous granuloma. In the pneumonlogical department, on admission the patient was cachectic, with massive oedema and ulceration of the tongue, and enlargement of the cervical lymph nodes. He was fed through the gastric tube. He had severe pain of the tongue demanding treatment with opiatics analgetics. Chest x-ray revealed disseminated lesions in lungs. Antituberculous therapy was administered because of suspicion of tuberculosis of the tongue and lungs. Durning the treatment clinical improvment was observed. Tubercule bacilli were grown in the sputum culture after 6 weeks of observation. After 8 weeks of antituberculous therapy regression of lung lesions and healing of the tongue were observed. The patient continued treatment for 6 months in the Lung Disease Outpatient Clinic.
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Keywords

extrapulmonary tuberculosis; tuberculosis of the tongue

About this article
Title

Tuberculosis of tongue in patient with disseminated pulmonary tuberculosis

Journal

Advances in Respiratory Medicine

Issue

Vol 72, No 1-2 (2004)

Pages

28-32

Published online

2008-02-18

Bibliographic record

Pneumonol Alergol Pol 2004;72(1-2):28-32.

Keywords

extrapulmonary tuberculosis
tuberculosis of the tongue

Authors

Agata Michalak
Grzegorz Wojtas
Irena Kidawa
Katarzyna Tylżanowska-Nitek

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