Primary tuberculosis of the TMJ: presentation of a case and literature review

Helbling, C A; Lieger, O; Smolka, W; Iizuka, Tateyuki; Kuttenberger, J (2010). Primary tuberculosis of the TMJ: presentation of a case and literature review. International journal of oral & maxillofacial surgery, 39(8), pp. 834-838. Maryland Heights, Mo.: Elsevier 10.1016/j.ijom.2010.03.023

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Tuberculosis (TB) is a frequent health problem. The prevalence of extrapulmonary TB has increased in the last couple of years. Head and neck tuberculosis forms nearly 10% of all extrapulmonary manifestations of the disease. TB of the temporomandibular joint (TMJ) is rare; only a few cases have been reported. The clinical appearance of TB infection of the TMJ has been described as unspecific, resembling arthritis, osteomyelitis, cancer or any kind of chronic joint diseases. This article describes a 22-year-old woman with pain and left preauricular swelling. Magnetic resonance imaging and computed tomography showed an expansive process with destruction of the left condyle and condylar fossa. A fine needle aspiration examination of the swelling showed non-specific granulomatous inflammation. In the following days, a preauricular fistula developed, of which a swab and biopsy specimens were taken. Histological and microbiological examinations revealed an infection with Mycobacterium tuberculosis. The initial antituberculosis treatment consisted of a combination of four antibiotics and could be reduced to two antibiotics in the course of treatment. The treatment was completed successfully after 9 months.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Craniomaxillofacial Surgery

UniBE Contributor:

Lieger, Olivier and Iizuka, Tateyuki

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0901-5027

Publisher:

Elsevier

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:08

Last Modified:

07 Dec 2014 00:05

Publisher DOI:

10.1016/j.ijom.2010.03.023

PubMed ID:

20605408

BORIS DOI:

10.7892/boris.442

URI:

https://boris.unibe.ch/id/eprint/442 (FactScience: 199294)

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