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Primary mycobacterial infection of the uvula

Published online by Cambridge University Press:  29 June 2007

A. Murray*
Affiliation:
Department of Otolaryngology, Royal Alexandra Hospital, PaisleyUK
D. S. Gardiner
Affiliation:
Department of Pathology/Cytology, Monklands Hospital, Airdrie, UK
R. J. McGuiness
Affiliation:
Department of Otolaryngology, Royal Alexandra Hospital, PaisleyUK
*
Address for correspondence: Mr A. Murray, Department of Otolaryngology, Glasgow Royal Infirmary, 80 Castle Street, Glasgow G4.

Abstract

Tuberculosis, and non-tuberculous mycobacterial infections are becoming more common thus it is more likely that otolaryngologists will encounter these conditions. We describe an otherwise well patient, with symptoms and signs from chronic uvular inflammation, who proved to have a primary mycobacterial infection. This is an unique presentation in the literature and reminds clinicians of the need, where uncertainty exists in diagnosis, to consider mycobacterial infections.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1998

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References

Advisory council for the elimination of tuberculosis (ACET). (1989) Strategic plan for the elimination of tuberculosis in the United States. MMWR 38 (Suppl S-3): 125.Google Scholar
Brennan, T. F., Vrabec, D. P. (1970) Tuberculosis of the oral mucosa. Annals of Otology, Rhinology and Laryngology 79: 601605.CrossRefGoogle ScholarPubMed
Centers for Disease Control (1991) Tuberculosis Statistics in the United States 1989. Washington, DC, Dept of Health and Human Services.Google Scholar
Dimitrakopoulos, I., Zouloumis, L., Lazaridis, N., Karakasis, D., Trigonidis, G., Sichletidis, L. (1991) Primary tuberculosis of the oral cavity. Oral Surgery, Oral Medicine, Oral Pathology 72: 712715.CrossRefGoogle ScholarPubMed
Haddad, N. M., Zaytoun, G. M., Hadi, U. (1987) Tuberculosis of the soft palate: An unusual presentation of oral tuberculosis. Otolaryngology – Head and Neck Surgery 97: 9192.Google ScholarPubMed
Hashimoto, Y., Tanioka, H. (1989) Primary tuberculosis of the tongue: Report of a case. Journal of Oral Maxillofacial Surgery 47: 744746.CrossRefGoogle ScholarPubMed
Katila, M. L., Iivanianen, E., Torkko, P., Kauppinen, J., Martikainen, P., Vaananen, P. (1995) Isolation of potentially pathogenic mycobacteria in the Finnish environment. Scandinavian Journal of Infectious Diseases (Suppl 98): 911.Google ScholarPubMed
Komet, H., Schaefer, R. F., Mahoney, P. L. (1965) Bilateral tuberculous granulomas of the tongue. Archives of Otolaryngology 82: 649651.CrossRefGoogle ScholarPubMed
Lathouwer, C. D., Cauchie, C., Brabant, H. (1975) A rare and complex case of multifocal mucocutaneous lupus tuberculosis with isolated lesion of the tongue. Oral Surgery 39: 211.CrossRefGoogle ScholarPubMed
McGovern, J., Bix, B. C., Webster, G. (1994) Mycobacterium haemophilum skin disease successfully treated with excision. Journal of the American Academy of Dermatology 30(2 Pt1): 269270.CrossRefGoogle ScholarPubMed
Mitchell, A. (1914) Report on the infection of children with bovine tubercle bacillus. British Medical Journal 200: 125133.Google Scholar
Nakajima, H. (1993) Tuberculosis: a global emergency. World Health 46(4): 3.Google Scholar
National MDR-TB Task Force (1992) National Action Plan to Combat Multidrug Resistant Tuberculosis Washington DC: Dept of Health and Human Services.Google Scholar
Prabhu, S. R., Daftery, D. K., Dholakia, H. M. (1978) Tuberculous ulcer of the tongue: report of a case. Journal of Oral Surgery 36: 384386.Google Scholar
Pransky, S. M., Reisman, B. K., Kearns, D. B., Seid, A. B., Collins, D. L., Krous, H. F. (1990) Cervicofacial mycobacterial adenitis in children: endemic to San Diego? Laryngoscope 100: 920925.CrossRefGoogle ScholarPubMed
Rappaport, W., Dunington, G., Norton, L., Ladin, D., Peterson, E., Ballard, J. (1990) The surgical management of atypical mycobacterial soft tissue infections. Surgery 108(1): 3639.Google ScholarPubMed
Rauch, D. M., Friedman, E. (1978) Systemic tuberculosis initially seen as an oral ulceration. Journal of Oral Surgery 36: 387389.Google ScholarPubMed
Rhoderick-Smith, W. H., Davies, D., Mason, K. D., Onions, J. P. (1982) Intraoral pulmonary tuberculosis following dental manipulation. Lancet 1: 842843.CrossRefGoogle Scholar
Richter, E., Schulter, C., Duchrow, M., Hahn, M., Rusch-Gerdes, S., Galle, J., Flad, H. D., Gerdes, J. (1995) An improved method for the species-specific assessment of mycobacteria in routinely formalin-fixed and paraffin-embedded tissues. Journal of Pathology 175(1): 8592.CrossRefGoogle ScholarPubMed
Schulze-Robbecke, R., Feldmann, C., Fischeder, R., Janning, B., Exner, M., Wahl, G. (1995) Dental units: an environmental study of sources of potentially pathogenic myco-bacteria. Tubercle and Lung Disease 76(4): 318323.CrossRefGoogle Scholar
Sekosan, M., Zakkar, M., Wenig, B. L., Olopade, C. O., Rubinstein, I. (1996) Inflammation in the uvula mucosa of patients with obstructive sleep apnoea Laryngoscope 106(8): 10181020.CrossRefGoogle Scholar
Shanson, D. C. (1995) Microbiology in Clinical Practice 2nd Edition, Butterworth-Heinemann Ltd., Oxford, p 321.Google Scholar
Starke, J. R. (1992) Nontuberculous mycobacterial infections in children. Advances in Pediatric Infectious Diseases 7: 123159.Google ScholarPubMed
Stewart, M. G., Starke, J. R., Coker, N. J. (1994) Nontuberculous mycobacterial infections of the head and neck. Archives of Otolaryngology – Head and Neck Surgery 120: 873876.CrossRefGoogle ScholarPubMed
Sudre, P., Dam, G., Kochi, A. (1992) Tuberculosis: a global overview of the situation today. Bulletin of the World Health Organization 70(2): 149159.Google ScholarPubMed
Tyldesley, W. R. (1978) Oral tuberculosis – an unusual presentation. British Medical Journal 2: 928.CrossRefGoogle ScholarPubMed
Waldman, R. H. (1982) Tuberculosis and the atypical mycobacteria. Otolaryngologic Clinics of North America 15(3): 581596.CrossRefGoogle ScholarPubMed
Williams, R. G., Douglas-Jones, T. (1995) Mycobacterium marches back. Journal of Laryngology and Otology 109: 513.CrossRefGoogle ScholarPubMed