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Case Reports in Medicine
Volume 2016, Article ID 8193178, 4 pages
http://dx.doi.org/10.1155/2016/8193178
Case Report

Oral Tuberculosis: A Rare Manifestation of Disseminated Disease in a Patient with Dermatomyositis on Chronic Corticosteroids

Department of Medicine, Rutgers New Jersey Medical School, Newark, New Jersey, USA

Received 8 July 2016; Accepted 25 October 2016

Academic Editor: Francesca Ingegnoli

Copyright © 2016 Dina Khateeb 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

Tuberculosis remains one of the leading causes of death around the world despite advancements in diagnostic testing and medical therapies. It commonly affects the lungs, but isolated extra pulmonary clinical manifestations have been reported. Tuberculosis of the oral cavity is exceedingly rare. We present a case of a patient with dermatomyositis on chronic steroid therapy, who presented with tuberculosis involving the tongue as the only clinical manifestation of disseminated disease. Physicians must be aware of extra pulmonary manifestations of tuberculosis in patients at risk, in order to avoid delays in diagnosis and treatment and to prevent further contagion.