title: [Tuberculosis of the tongue in a patient with disseminated pulmonary tuberculosis].
abstract: A 51-year-old man, heavy cigarette smoker, a homeless alcoholic, with disseminated lesions in lungs and with ulceration and infiltration of the tongue is presented. Treatment with antibiotics was ineffective. He was admitted to the otolaryngological department because of suspicion of the tongue cancer. The histological examination of the tongue biopsy revealed tuberculous granuloma. In the pulmonological department, on admission the patient was cachectic, with massive oedema and ulceration of the tongue, and enlargement of the cervical lymph nodes. He was fed through the gastric tube. He had severe pain of the tongue demanding treatment with opiates analgesics. Chest x-ray revealed disseminated lesions in lungs. Antituberculous therapy was administered because of suspicion of tuberculosis of the tongue and lungs. During the treatment clinical improvement was observed. Tubercule bacilli were grown in the sputum culture after 6 weeks of observation. After 8 weeks of antituberculous therapy regression of lung lesions and healing of the tongue were observed. The patient continued treatment for 6 months in the Lung Disease Outpatient Clinic.
authors.affiliation: V Oddziału Chorób Płuc Mazowieckiego Centrum Leczenia Chorób Płuc i Gruźlicy w Otwocku.
authors.forename: Agata
authors.initials: A
authors.lastname: Michalak
authors.forename: Grzegorz
authors.initials: G
authors.lastname: Wojtas
authors.forename: Irena
authors.initials: I
authors.lastname: Kidawa
authors.forename: Katarzyna
authors.initials: K
authors.lastname: Tylzanowska-Nitek
mesh_terms: D000995:Antitubercular Agents / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D014059:Tongue / Q000382:microbiology* / Q000473:pathology; D016896:Treatment Outcome; D014393:Tuberculosis, Oral / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D014397:Tuberculosis, Pulmonary / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy
chemical_list: D000995:Antitubercular Agents