Open AccessPrimary gingival tuberculosis in pregnancy: A rare combination
Author(s) -
Shweta Sharma,
Abdul Ahad,
Neelima Gupta,
Vivek Sharma
Publication year - 2018
Publication title -
journal of indian society of periodontology (print)/journal of indian society of periodontology (online)
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.309
H-Index - 28
eISSN - 0975-1580
pISSN - 0972-124X
DOI - 10.4103/jisp.jisp_48_18
Subject(s) - medicine , pregnancy , tuberculosis , presentation (obstetrics) , incidence (geometry) , differential diagnosis , rare disease , dermatology , gingival disease , disease , pediatrics , obstetrics , dentistry , pathology , genetics , physics , optics , biology
Tuberculosis (TB), a common chronic-specific granulomatous disease, has become rare in the developed countries. However, it is still a common cause of morbidity and mortality in India. Although it commonly involves the lungs, its presentation in the oral cavity is quite uncommon. The very rare incidence of primary gingival TB, particularly in the absence of active pulmonary involvement often leads to misdiagnosis. Clinical features of oral lesions may include ulceration, nodules, granulomas, and fissures. TB in pregnant women is a major cause of obstetric complications and increased risk of maternal and child mortality. This report highlights a rare case of primary TB of gingiva, presenting as severe gingival overgrowth in a patient with 4 th month of pregnancy. This case strongly suggests the importance of suspecting TB as the differential diagnosis of gingival overgrowth and therefore, playing a critical role in the early detection and treatment. Interdisciplinary collaboration for diagnosis and management resulted in the successful outcome and prevented the obstetric complications in this case.