Vol 72, No 1-2 (2004)
Case report
Published online: 2008-02-18
Submitted: 2013-02-22
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.
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.
Keywords
extrapulmonary tuberculosis; tuberculosis of the tongue
Title
Tuberculosis of tongue in patient with disseminated pulmonary tuberculosis
Journal
Advances in Respiratory Medicine
Issue
Vol 72, No 1-2 (2004)
Article type
Case report
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