Gingival Tuberculosis - A Rare Presentation

  • Kafil Akhtar Department of Pathology, Jawaharlal Nehru Medical College, and *Oral & Maxillofacial Surgery, Sir Ziauddin Dental College, A.M.U., Aligarh, India.
  • Mohd Talha Department of Pathology, Jawaharlal Nehru Medical College, and *Oral & Maxillofacial Surgery, Sir Ziauddin Dental College, A.M.U., Aligarh, India.
  • Sadaf Haiyat Department of Pathology, Jawaharlal Nehru Medical College, and *Oral & Maxillofacial Surgery, Sir Ziauddin Dental College, A.M.U., Aligarh, India
  • Saif Khan Department of Pathology, Jawaharlal Nehru Medical College, and *Oral & Maxillofacial Surgery, Sir Ziauddin Dental College, A.M.U., Aligarh, India
Keywords: Gingiva, Tuberculosis, Histopathology.

Abstract

Tuberculosis is a specific granulomatous infectious disease and a major cause of morbidity and mortality in the developing countries. Primary gingival tuberculosis    is extremely rare and is often a forgotten entity.  It usually manifests as an ulcer. Oral lesions usually appear as a secondary form of infection. We report a case of primary  tuberculosis  in  a  22  year  old  female  who  presented  to  the dental  out-patients department  with  complaints of  diffuse  gingival  enlargement.  The  patient  had  no evidence  of  tuberculosis  anywhere  else  in  the  body.  The  possibility  of  gingival enlargement  due  to  drugs,  leukemia, fungus  and  sarcoidosis  was  ruled  out. Histopathology of the resected mass showed caseating epithelioid granulomas. Anti-tubercular  therapy  comprising  of  4  drug  regimen  was  administered. On follow up after 6 months, there was no recurrence of the disease.  This  case  emphasizes the  need  for  dental  surgeons  to  include  tuberculosis  in  the  differential  diagnosis of  gingival  enlargement  for  early  detection  of  this  highly  infectious disease.DOI: 10.21276/AAMS.1783

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Published
2018-03-04
Issue
Vol 2 No 1 (2018)
Section
Case Report

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