Oral medicine case book 68: Oral ulceration caused by rifampicin-resistant tuberculosis

摘要

A 53-year old female was referred by her local generalmedical practitioner to an oral medicine specialist for themanagement of a persistent ulcer on the left side of her tongue.The lesion had been present for at least three months andwas not responding to treatment by topical antiseptic agents.The earlier removal of a molar in close proximity to the lesion,in an attempt to exclude the possibility of traumatic ulceration,had also yielded no beneficial effects. Upon examination,the patient appeared clinically healthy but presented with ahistory of emphysema due to chronic cigarette smoking. Theemphysema was currently being managed by oral inhalationsteroids. Even though smoking cessation had previously beenadvised, she failed to comply and was currently still smokingmore than 10 cigarettes per day.