01459nas a2200169   4500000000100000008004100001653002200042653001200064653001700076100001400093700001300107245008900120300001000209490000600219520105000225022001401275       2016                            d10aOral tuberculosis10aleprosy10aCo-infection1 aGanesan V1 aMandal J00aPrimary oral tuberculosis in a patient with lepromatous leprosy: Diagnostic dilemma.  a102-50 v53 a<p>Pulmonary tuberculosis (TB) is the most common form of TB. Primary infection can also affect the pharynx, cervical lymph node, intestine, or oral mucosa. Historically, the observed incidence of concomitant infection with leprosy and TB is high. However, reports of concomitant infection in modern literature remain scarce. Most cases reported in the literature had borderline/lepromatous leprosy and pulmonary tuberculosis. Extrapulmonary tuberculosis is reported in only 3.2% of leprosy cases. To the best of our knowledge, this is the first case report of primary oral tuberculosis of the tongue in a patient with lepromatous leprosy with Type 2 lepra reaction. The patient was referred to Directly Observed Treatment, Short-Course clinic and started on Category I treatment. She received oral prednisolone for lepra reaction, which was subsequently tapered and stopped, however, she continued to receive other antileprotic drugs (thalidomide and clofazimine). The patient's general condition improved and she is on regular follow up.</p>
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