Oral surgery, oral medicine, oral pathology and oral radiology · 2019
Gingival manifestations of tuberculosis in pediatric patients: series of 4 cases.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Gupta Sunita, Vats Puneet, Jha Abhishek, Singh Khushboo, Ghosh Sujoy, Tandon Shruti, Khanna Ashwani, Kapoor Seema, Khurana Nita
Аннотация
OBJECTIVE: The aim of the study was to evaluate the gingival manifestations of tuberculosis (TB) in the oral cavity in pediatric patients.
STUDY DESIGN: Four pediatric patients were enrolled in the study. Clinical symptoms, auxiliary examinations, treatments, and outcomes were recorded and analyzed. Four pediatric patients who presented with atypical gingival lesions were thoroughly examined for local and systemic signs and symptoms, and a detailed history was obtained. All relevant investigations led to a definitive diagnosis of oral tuberculous lesions. On the basis of the final diagnosis, antitubercular therapy (ATT) was started for all the pediatric patients, and outcomes were measured.
RESULTS: All 4 patients responded very well to the treatment, with complete resolution of the lesions within 6 months after the initiation of ATT.
CONCLUSIONS: Health care professionals should rule out TB as one of the differential diagnoses in pediatric patients with atypical gingival lesions. ATT is strongly recommended for the treatment of oral TB to achieve good clinical outcomes. Rapid molecular tests based on nucleic amplification should be utilized for the diagnosis of TB in children and also for extrapulmonary TB because they are much faster and reliable compared with conventional methods.
STUDY DESIGN: Four pediatric patients were enrolled in the study. Clinical symptoms, auxiliary examinations, treatments, and outcomes were recorded and analyzed. Four pediatric patients who presented with atypical gingival lesions were thoroughly examined for local and systemic signs and symptoms, and a detailed history was obtained. All relevant investigations led to a definitive diagnosis of oral tuberculous lesions. On the basis of the final diagnosis, antitubercular therapy (ATT) was started for all the pediatric patients, and outcomes were measured.
RESULTS: All 4 patients responded very well to the treatment, with complete resolution of the lesions within 6 months after the initiation of ATT.
CONCLUSIONS: Health care professionals should rule out TB as one of the differential diagnoses in pediatric patients with atypical gingival lesions. ATT is strongly recommended for the treatment of oral TB to achieve good clinical outcomes. Rapid molecular tests based on nucleic amplification should be utilized for the diagnosis of TB in children and also for extrapulmonary TB because they are much faster and reliable compared with conventional methods.