SpringerLink
Log in

Rare Presentation of Tuberculous Osteomyelitis of Mandibular Condyle Mimicking as Parotid Tumor: A Case Report

  • Clinical Report
  • Published:
Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

Tuberculosis (TB) is a significant health problem and mortality in most develo** countries. It is a chronic granulomatous disease caused by Mycobacterium tuberculosis and M. tuberculosis complex. It can be pulmonary form or Extra pulmonary form. Extrapulmonary tuberculosis involving temporomandibular joint is infrequent presentation of Skeletal TB. Here we present a rare case of extrapulmonary tuberculosis that was initially misdiagnosed as a parotid lesion due to atypical signs and symptoms and multiple in-conclusive FNAC reports. The final diagnosis was established by histopathological report.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price includes VAT (Thailand)

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10
Fig. 11
Fig. 12
Fig. 13
Fig. 14

Similar content being viewed by others

References

  1. World Health Organization. https://www.who.int/publications/digital/global-tuberculosis-report-2021/tb-disease-burden/incidence#

  2. Sharma SK, Ryan H, Khaparde S, Sachdeva KS, Singh AD, Mohan A, Sarin R, Paramasivan CN, Kumar P, Nischal N, Khatiwada S, Garner P, Tharyan P (2017) Index-TB guidelines: guidelines on extra-pulmonary tuberculosis for India. Indian J Med Res 145:448–463. Doi: https://doi.org/10.4103/ijmr.IJMR_1950_16

    Article  PubMed  PubMed Central  Google Scholar 

  3. Gandhi S (2011) Tuberculosis of temporomandibular joint: a case report J Oral Maxillofac Surg 69: e128-e130. Doi: https://doi.org/10.1016/j.joms.2010.12.008. Epub 2011 Mar 1

  4. Yang F, Wu M, Peng Y, Dong X, Ge Y. Do not ignore tuberculosis of the parotid gland when meeting obvious infiltration of neutrophils in a suspicious swelling by FNAC. Ear Nose Throat J. Doi: https://doi.org/10.1177/0145561320964267

  5. Ram H, Kumar S, Atam V, Kumar M (2020) Primary tuberculosis of zygomatic bone: a rare case report. J Infect Public Health 13:815–817. Doi: https://doi.org/10.1016/j.jiph.2019.10.008

    Article  PubMed  Google Scholar 

  6. Chatterjee D, Dey P (2014) Tuberculosis revisited: cytological perspective. Diagn Cytopathol 42:993–1001. Doi: https://doi.org/10.1002/dc.23190

    Article  PubMed  Google Scholar 

  7. Pekiner FN, Erseven G, Borahan MO, Gümrü B (2006) Natural barrier in primary tuberculosis inoculation: oral mucous membrane. Int J Tuberc Lung Dis 10:1418

    PubMed  Google Scholar 

  8. Wang WC, Chen JY, Chen YK, Lin LM (2009) Tuberculosis of the head and neck: a review of 20 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 107:381–386. Doi: https://doi.org/10.1016/j.tripleo.2008.11.002

    Article  PubMed  Google Scholar 

  9. Ranganathan LK, Mathew GC, Gandhi S, Manohar M (2012) Tuberculosis of temporomandibular joint presenting as swelling in the preauricular region. J Oral Maxillofac Surg 70:e28–31. doi: https://doi.org/10.1016/j.joms.2011.08.040

    Article  PubMed  Google Scholar 

  10. Wu H, Wang QZ, ** Y (1998) Tuberculosis of the temporomandibular joint. Oral surg oral Med oral pathol oral Radiol Endod. 85:243. https://doi.org/10.1016/s1079-2104(98)90001-4

    Article  CAS  PubMed  Google Scholar 

  11. Soman D, Davies SJ (2003) A suspected case of tuberculosis of the temporomandibular joint. Br Dent J. 194(1):23–4. https://doi.org/10.1038/sj.bdj.4802406

    Article  CAS  PubMed  Google Scholar 

  12. Matta IR, Karnik PP, Pathare PS, Potdar VV (2005) Tuberculosis of temporomandibular joint. Indian J Otolaryngol Head Neck Surg 57(4):337–339. https://doi.org/10.1007/BF02907706

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Prasad KC, Sreedharan S, Prasad SC, Chakravarthy Y (2007) Tuberculosis of the temporomandibular joint and parotid secondary to tuberculous otitis media. Otolaryngol Head Neck Surg 137(6):974–975. https://doi.org/10.1016/j.otohns.2007.07.026

    Article  PubMed  Google Scholar 

  14. Helbling CA, Lieger O, Smolka W, Iizuka T, Kuttenberger J (2010) Primary tuberculosis of the TMJ: presentation of a case and literature review. Int J Oral Maxillofac Surg 39(8):834–838. https://doi.org/10.1016/j.ijom.2010.03.023

    Article  CAS  PubMed  Google Scholar 

  15. Patel M, Scott N, Newlands C (2012) Case of tuberculosis of the temporomandibular joint. Br J Oral Maxillofac Surg 50(1):e1-3. https://doi.org/10.1016/j.bjoms.2011.05.012

    Article  PubMed  Google Scholar 

  16. Sheikh S, Pallagatti S, Gupta D, Mittal A (2012) Tuberculous osteomyelitis of mandibular condyle: a diagnostic dilemma. Dentomaxillofac Radiol 41(2):169–174. https://doi.org/10.1259/dmfr/56238546

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Arora P (2012) Primary tubercular arthritis of TMJ- A Rare Case Report. Int J Dent Case Reports 2:70–75

    Google Scholar 

Download references

Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Author information

Authors and Affiliations

  1. Division of Maxillofacial Surgery, Department of Dentistry, All India Institute of Medical Sciences, GE Road, Raipur, Chhattisgarh, India

    Manish J. Raghani

  2. Division of Maxillofacial Surgery, Department of Dentistry, All India Institute of Medical Sciences, Raipur, India

    Kamini Dadsena, Niveda Jith & Preetha Aanand

  3. Department of Pathology, All India Institute of Medical Sciences, Raipur, India

    Vandita Singh

Authors
  1. Manish J. Raghani
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Kamini Dadsena
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Niveda Jith
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Preetha Aanand
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Vandita Singh
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Kamini Dadsena.

Ethics declarations

Conflict of interest

The authors state that there is no conflict of interest to disclose.

Ethics Approval

Ethical approval taken from Institute Ethics Committee, All India Institute of Medical Sciences, Raipur.

Consent to Participate

Patient consent was obtained.

Consent for Publication

Patient consent was obtained. All authors viewed and agreed to this submission.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Raghani, M.J., Dadsena, K., Jith, N. et al. Rare Presentation of Tuberculous Osteomyelitis of Mandibular Condyle Mimicking as Parotid Tumor: A Case Report. Indian J Otolaryngol Head Neck Surg 75, 1226–1232 (2023). https://doi.org/10.1007/s12070-022-03436-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12070-022-03436-z

Keywords

Search

Navigation