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

Helbling, C. A. and Lieger, O. and Smolka, W. and Iizuka, T. and Kuttenberger, J.. (2010) Primary tuberculosis of the TMJ : presentation of a case and literature review. International journal of oral and maxillofacial surgery, Vol. 39, H. 8. pp. 834-838.

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Official URL: http://edoc.unibas.ch/dok/A6007600

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Abstract

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.
Faculties and Departments:03 Faculty of Medicine > Bereich Operative Fächer (Klinik) > Kopfbereich > Kiefer- und Gesichtschirurgie (Zeilhofer)
03 Faculty of Medicine > Departement Klinische Forschung > Bereich Operative Fächer (Klinik) > Kopfbereich > Kiefer- und Gesichtschirurgie (Zeilhofer)
UniBasel Contributors:Kuttenberger, Johannes Josef
Item Type:Article, refereed
Article Subtype:Further Journal Contribution
Bibsysno:Link to catalogue
Publisher:Churchill Livingstone
ISSN:0901-5027
Note:Publication type according to Uni Basel Research Database: Journal item
Last Modified:20 Jun 2014 07:55
Deposited On:20 Jun 2014 07:55

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