A Case of Pulmonary Tuberculosis Accompanied by Tuberculosis Pleurisy and Tuberculosis of the Tongue

The incidence of extrapulmonary tuberculosis is 10- 15% of all tuberculosis cases. In the group of extrapulmonary tuberculosis cases, tuberculosis of the tongue (0.14-0.2% of all tuberculosis cases) is the most frequent tuberculosis form of the oral cavity. It can be seen as a primary infection, which is very rare and mostly seen in young tuberculosis cases or secondarily, which is seen in the elderly and generally accompanied by active pulmonary tuberculosis. In our case, we encountered a positive sputum smear for acid-fast bacilli, high ADA level in pleural effusion, and granulomatous infection with caseification in the tongue biopsy and started to administer antituberculosis treatment. As three forms of tuberculosis could be seen together in our case, we attempted to highlight that tuberculosis of the tongue should be considered in oral cavity lesions.

Akciðer Tüberkülozuna Eþlik Eden Tüberküloz Plörezi ve Dil Tüberkülozu Olgusu

Akciðer dýþý tüberküloz, tüm olgularýn yaklaþýk %10- 15’ini oluþturur. Akciðer dýþý tüberkülozlar içinde dil tüberkülozu, oral kavite tüberkülozlarýnýn en sýk görü- lenidir. Tüm tüberküloz olgularýnýn %0,14-0,2’sini oluþturur. Primer ve sekonder formu olabilir. Primer formu, seyrek olup sýklýkla gençlerde, sekonder formu ise ileri yaþlarda görülür ve aktif akciðer tüberkülozuna eþlik edebilir. Olgumuzda yapýlan dil biyopsisinde kazeifiye granülomatöz inflamasyon, balgamda ARB pozitif, plevra sývýsýnda ADA düzeyi yüksek saptanarak antitüberküloz tedavisi baþlandý. Üç ayrý tüberküloz formunun bir arada görülmesi nedeniyle olguyu literatürün ýþýðý altýnda tartýþarak, aðýz içi lezyonlarýnda dil tüberkülozunun akýlda tutulmasý vurgulandý.