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Case Reports in Medicine
Volume 2012 (2012), Article ID 548350, 3 pages
http://dx.doi.org/10.1155/2012/548350
Case Report

Tuberculoma of the Tongue Presenting as Hemimacroglossia

1Department of Otolaryngology, Post Graduate Institute of Medical Sciences (PGIMS), Rohtak, Haryana, India
2Department of Pathology, Post Graduate Institute of Medical Sciences (PGIMS), Rohtak, Haryana, India

Received 28 September 2012; Revised 7 December 2012; Accepted 9 December 2012

Academic Editor: T. Ottenhoff

Copyright © 2012 S. P. S. Yadav et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The underdiagnosis of extrapulmonary tuberculosis lesions, along with an emerging global resistance to antitubercular drugs, warrants an increased awareness of the involvement of Mycobacterium tuberculosis in atypical lesions of oral cavity. Tongue is the most common site of oral tuberculosis. We report a rare presentation of lingual tuberculosis in a 65-year-old male, a chronic tobacco chewer, who came to us with swelling of the tongue which apparently looked like hemimacroglossia, leading to the clinical diagnosis of submucosal carcinoma of tongue. Enlargement of tongue is a slow process resulting from gradual invasion and lodging of bacilli in the tongue. Biopsy and histopathological examination revealed tuberculous etiology of the lesion and the patient responded well to antitubercular therapy.