Soman D, Davies S J
Chesterfield and North Derbyshire Royal Hospital Calow, Chesterfield.
Br Dent J. 2003 Jan 11;194(1):23-4. doi: 10.1038/sj.bdj.4802406.
Primary tuberculosis is symptomless in the great majority of individuals. The clinical appearance of tuberculosis (TB) of the temporomandibular joint is similar to that of ordinary arthritis of this joint and so, is unlikely to be diagnosed early in non-destructive disease, especially when there are no symptoms and signs of TB elsewhere in the body. The role of Mycobacterium tuberculosis and other opportunistic organisms should not be overlooked in complicated head and neck infections as this is an ever increasing problem today, especially due to the emergence of multi-drug resistant strains of tuberculosis in some urban areas.
原发性肺结核在绝大多数人身上是没有症状的。颞下颌关节结核(TB)的临床表现与该关节普通关节炎相似,因此,在疾病未造成破坏时不太可能早期诊断出来,尤其是当身体其他部位没有结核病的症状和体征时。在复杂的头颈部感染中,结核分枝杆菌和其他机会性病原体的作用不应被忽视,因为如今这是一个日益严重的问题,特别是由于一些城市地区出现了耐多药结核菌株。