폐결핵에 의한 악안면부 이차성 결핵병소의 치험예

ORAL AND SKIN TUBERCULAR LESIONS SECONDARY TO PULMONARY TUBERCULOSIS

Tuberculosis is an infectious granulomatous type of chronic disease and occurs mostly in lungs but it may be disseminated elsewhere in the body by direct extension, blood vessels or lymphatics. Oral tubercular lesions generally develop secondary to pulmonary disease and primary localization in the mouth is extremely rare. The differential diagnosis of an oral tuberculosis lesions includes malignancy, various types of stomatitis, syphilis and mycotic infections. Treatment consists of a combination of surgical excision of diseased tissue when indicated with chemotherapy. This is a case of tooth socket and skin lesions secondary to advanced pulmonary tuberculosis by direct extension and we obtained good results by surgical excision and antituberculous medications consisted of isoniazid, rifampin, streptomycin and ethambutol hydrochloric acid.