Advertisement

Report of a Case of Tuberculosis of Mandibular Condyle in a Patient on Haemodialysis

  • Shreya KrishnaEmail author
  • Aditya Moorthy
  • Prithvi Bachalli
  • Rohith Gaikwad
  • Prashanth Bhat
  • Shobha Hegde
Case Report
  • 4 Downloads

Introduction

Tuberculosis is an infectious disease of granulomatous nature affecting multiple organs commonly caused by the acid-fast bacilli Mycobacterium tuberculosis and rarely Mycobacterium bovis [1]. Worldwide, tuberculosis is one of the top ten causes of death and the leading cause from a single infectious agent (above HIV/AIDS). India has the highest tuberculosis burden in the world accounting for 27% of all the cases in the world [2].

Head and neck tuberculosis comprises nearly 10% of all cases of extrapulmonary tuberculosis (EPTB) [3]. Primary TB of the temporomandibular joint (TMJ) is a rare occurrence, and only 14 such cases have been reported in the literature so far. The presentation of tuberculous infection of the TMJ can resemble arthritis, osteomyelitis or any other kind of chronic joint disease.

Many risk factors are associated with tuberculosis, such as human immunodeficiency virus (HIV) infections, transplant recipients, substance abuse, renal insufficiency,...

Notes

Compliance with Ethical Standards

Conflict of interest

The author declares that they have no conflict of interest.

References

  1. 1.
    Patel M, Scott N, Newlands C (2012) Case of tuberculosis of the temporomandibular joint. BJOMS 50:e1–e3Google Scholar
  2. 2.
    WHO (2018) Global tuberculosis report: executive summary. WHO/CDS/TB/2018.25Google Scholar
  3. 3.
    Helbling CA, Lieger O, Smolka W et al (2010) Primary tuberculosis of the TMJ: presentation of a case and literature review. Int J Oral Maxillofacc Surg 39:834CrossRefGoogle Scholar
  4. 4.
    Yang W et al (2013) Extra-pulmonary tuberculosis infection in the dialysis patients with end stage renal diseases: case reports and literature review. J Zhejiang Univ Sci B (Biomed Biotechnol) 14(1):76–82CrossRefGoogle Scholar
  5. 5.
    Kuno Y, Iyoda M, Aoshima Y, Hosaka N, Sanada D, Hirai Y, Shibata T, Akizawa T (2010) A case of tuberculous peritonitis in a hemodialysis patient with high serum soluble interleukin-2 receptor and CA-125 levels. Intern Med 49(16):1783–1786.  https://doi.org/10.2169/internalmedicine.49.3760 CrossRefGoogle Scholar
  6. 6.
    Ranganathan LK, Mathew GC, Gandhi S et al (2012) Tuberculosis of temporomandibular joint presenting as swelling in the preauricular region. J Oral Maxillofacc Surg 70:e28CrossRefGoogle Scholar
  7. 7.
    Towdur GN, Upasi AP, Veerabhadrappa UK, Rai K (2018) A rare, unusual presentation of primary tuberculosis in the temporomandibular joint. J Oral Maxillofacc Surg 76:806–811CrossRefGoogle Scholar
  8. 8.
    World Health Organization (2014) Xpert MTB/RIF implementation manual: technical and operational ‘how-to’: practical considerations. http://www.who.int/tb/publications/xpert_implem_manual/en/. Accessed 30 Apr 2019
  9. 9.
    Lund RJ, Koch MJ, Oldemeyer JB, Meares AJ, Dunlay RW (2000) Extrapulmonary tuberculosis in patients with end stage renal disease—two case reports and a brief review. Int Urol Nephrol 32(2):181–183.  https://doi.org/10.1023/A:1007108809773 CrossRefGoogle Scholar

Copyright information

© The Association of Oral and Maxillofacial Surgeons of India 2019

Authors and Affiliations

  1. 1.Department of Head and Neck SurgeryRangadore Memorial HospitalBengaluruIndia
  2. 2.Department of Oral and Maxillofacial SurgerySt. James HospitalDublinIreland

Personalised recommendations