Adamczyk H, Jaworska A, Zielińska E, Zmuda E
Czas Stomatol. 1989 Feb;42(2):116-23.
The authors report three cases of isolated tuberculous foci of jaw bones and stress the increase in the prevalence of tuberculosis in last years. The process had a protracted course and was associated with isolated or multiple pus-discharging fistulae. In all cases the final diagnosis was based on the histological examination of scrapings from the pathological lesions. In one case establishing of correct diagnosis was very difficult since the initial laboratory investigations and microscopic examination of cells from the pus and sputum failed to demonstrate specific changes. Only later histological examination during repeated exacerbations demonstrated tuberculosis. The treatment with tuberculostatic agents made possible achieving of improvement.
作者报告了3例颌骨孤立性结核病灶,并强调近年来结核病患病率有所上升。病程呈迁延性,伴有孤立或多发的排脓瘘管。所有病例的最终诊断均基于对病理病变刮片的组织学检查。在1例病例中,正确诊断非常困难,因为最初的实验室检查以及对脓液和痰液细胞的显微镜检查均未显示出特异性变化。只是在反复病情加重期间进行的后续组织学检查才证实为结核病。使用抗结核药物治疗使病情得以改善。