Hong Kong Med J 2007;13:330-1 | Number 4, August 2007
Primary tuberculous glossitis in an immunocompetent patient
Prem P Gupta, Sanjay Fotedar, Dipti Agarwal, Pradeep Sansanwal
Department of Respiratory Medicine, Postgraduate Institute of Medical Sciences, Rohtak, India
Tuberculous glossitis is a rare entity that has been described sporadically. Primary tuberculous glossitis, as described in this case report, is still exceptional. A 25-year-old male with no known immunosuppressive disorder presented with a tuberculoma at the base of his tongue. This was confirmed by tongue biopsy and a positive polymerase chain reaction response to the mycobacterium. The patient had a favourable response to anti-tubercular treatment. This highlights the importance of considering tuberculosis in the differential diagnosis of chronic tongue lesions, even in the absence of pulmonary tuberculosis.
Key words: Antitubercular agents; Glossitis; Polymerase chain reaction; Tuberculosis
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