Tuberculous lymphadenitis presenting as inflammatory cervicofacial swelling in a 12-year-old girl

international journal of stomatology & occlusion medicine - Tập 4 Số 2 - Trang 72-75 - 2011
Neelakandan, R.S.1, Bhargava, Darpan1, Kumaran, M.1, Raj, A.I.1
1Maxillofacial and Oral Surgery, Meenakshi Ammal Dental College & Hospital, Chennai, India

Tóm tắt

Tuberculosis has a global incidence with an estimated 1.86 billion people being affected. Tuberculous lymphadenitis is a chronic specific granulomatous inflammation with caseation necrosis of the lymph nodes. This case report highlights a rare presentation of tuberculous lymphadenitis as an inflammatory swelling in the preauricular and submandibular regions. A 12-year-old female patient presented with two solitary swellings in the right preauricular and right submandibular regions which had been present for 1 week. Both swellings were 2 ´ 2 cm in size with signs of inflammation of the overlying skin. The investigations and treatment have been reviewed in the presented report. Mycobacterial infection must always be considered as a possible differential diagnosis when treating patients with such swellings refractory to normal antibiotic regimes. Tuberculosis normally presents as a cold abscess but this may not always be the case.

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