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KMID : 0355620050310020164
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Journal of Korean Association of Oral and Maxillofacial Surgeons
2005 Volume.31 No. 2 p.164 ~ p.169
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Tuberculous osteomyelitis simultaneously occured on the maxilla and mandible
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김일규/Kim IK
류문광/김동수/구제훈/최진호/Ryu MK/Kim DS/Ku JH/Choi JH
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Abstract
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Tuberculosis is a systemic disease with a world-wide distribution, and its occurance in the oral cavity is well documented in the literature. Disease of oral cavity and jaw caused by Mycobacterium tuberculosis is very rare, so it is often difficult to diagnose tuberculosis in the oral cavity. When granulomatous and ulcerative lesion persists in the oral cavity for a long time, it may be considered a tuberculosis. When differential diagnosis is needed, the most reliable indicators of mycobacterial infection are careful clinical evaluation, skin test, acid-fast staining, biopsy and culture. We report a case of tuberculous osteomyelitis which simultaneously occurred on the maxilla and mandible in a 85 years old man that proved diagnosis difficult, but which responded very well to surgical treatment and chemotherapy.
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