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口腔黏膜溃疡:先前未确诊肺结核的一种表现。

Oral mucosal ulceration: a manifestation of previously undiagnosed pulmonary tuberculosis.

作者信息

Sezer Bahar, Zeytinoglu Mert, Tuncay Umit, Unal Taha

机构信息

Ege University, School of Dentistry, Department of Oral and Maxillofacial Surgery, Bornova, Izmir, Turkey.

出版信息

J Am Dent Assoc. 2004 Mar;135(3):336-40. doi: 10.14219/jada.archive.2004.0184.

Abstract

BACKGROUND

Tuberculosis, or TB, is a chronic infectious disease that can affect any part of the body, including the mouth. Oral lesions may be the only finding of primary pulmonary TB, in which case proper diagnosis by dentists is vital.

CASE DESCRIPTION

The authors present a case in which the patient sought treatment for a painful oral lesion. A histopathologic examination revealed characteristics of TB. Subsequently, pulmonary lesions were detected, and a diagnosis of pulmonary TB was confirmed. The patient underwent antituberculosis therapy, and his oral and systemic conditions improved rapidly.

CLINICAL IMPLICATIONS

Although oral manifestations of TB are rare, clinicians should be aware of their possible occurrence in their patient populations. Such awareness can help diagnose TB at an early stage, thereby preventing complications and potential contaminations.

摘要

背景

结核病,简称TB,是一种慢性传染病,可影响身体的任何部位,包括口腔。口腔病变可能是原发性肺结核的唯一表现,在这种情况下,牙医进行正确诊断至关重要。

病例描述

作者介绍了一例患者因口腔疼痛性病变前来就诊的病例。组织病理学检查显示为结核病特征。随后检测到肺部病变,确诊为肺结核。患者接受了抗结核治疗,其口腔和全身状况迅速改善。

临床意义

尽管结核病的口腔表现罕见,但临床医生应意识到其在患者群体中可能出现。这种意识有助于早期诊断结核病,从而预防并发症和潜在的传染。

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