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Article: Volume 42 Number 5 Page 473 - June 2015

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  Dent Update 2015; 42: 473-475

Oral and Maxillofacial Surgery:  An Unusual Extranodal Presentation of Mycobacterium Tuberculosis in the Upper Lip

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Abstract: Tuberculosis (TB) is a leading cause of morbidity and mortality worldwide, with a peak incidence in South-East Asia and Sub-Saharan Africa. A significant number of patients in the UK are affected. Extra-pulmonary TB presentation varies, and includes head and neck manifestations that can present on routine examination in the dental practice setting. We report an unusual case of extra-nodal TB in the upper lip, and provide some guidance to general dental practitioners on the presenting features of such lesions, and what to refer for further investigation where TB is included in the differential diagnosis.

Clinical relevance: This case report highlights important factors in TB diagnosis, with particular emphasis on presenting features relevant to general dental practitioners, and informs on the accepted and current treatment regimen.

Author notes: Rachel B Taute, MBChB, BChD, MFDS RCS(Ed), Clinical Fellow, Oral and Maxillofacial Surgery, Leeds Dental Institute, Jennifer Wylie, FRCS(OMFS), FDS RCS, Consultant Oral and Maxillofacial Surgeon, John Radcliffe Hospital, Oxford and Lachlan Carter, FRCS(OMFS), FDS RCSEd, DipHlthRes, Consultant Oral and Maxillofacial Surgeon, Leeds Dental Institute, Clarendon Way, Leeds LS2 9LU, UK.

Objective: To describe the presenting features of TB and how its diagnosis is reached.

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