ABSTRACT
Introduction: Tuberculosis mostly affects the lungs, but may also affect the central nervous system, lymphatic system, circulatory system, genitourinary system, bones, joints, and skin. Extrapulmonary involvement in tuberculosis is rare, accounting for just 10 to 15% of cases. The lymph nodes are the second most common site of tuberculosis infection. Oral tuberculosis has long been thought to be an unusual phenomenon. Oral manifestations are thought to occur in just 0.05 to 5% of all tuberculosis cases. Surface ulcers, patches, papillomatous lesions, and indurated soft tissue lesions are the most common oral manifestations. Case Presentation: A 69-year-old man presented to the Department of Ear, Nose, Throat at MGM Hospital in Aurangabad, India, with a painful ulcer and tiny nodules on the tongue’s tip and lateral surface. The ulcer appeared 3–4 weeks ago without any obvious trigger with a prickling feeling and increased soreness over the area., Onintraoral inspection multiple small nodules is measuring about 0.1 cm and multiple circular ulcer measuring about 0.2 x 0.1 cm in diameter at the tip and lateral border of the tongue. A granulomatous center and a whitish, well-defined border with mild elevation characterized the ulcer. Conclusion: Despite the rarity of tuberculosis evidence in the oral cavity, oral tuberculosis should be included in the differential diagnosis of chronic oral lesions. To prevent ineffective oral therapy, accurate diagnosis is crucial for successful care by concentrating on the pathological source.
ABSTRACT
Background: Vertebral compression fractures have a variety of etiologies including trauma, osteoporosis or neoplasm. Osteoporotic compression fractures have prevalence of approximately 25% among postmenopausal women and occurs less frequently in similar aged men. Trauma is most common cause in those younger than 50 years of age. The aim of this study is to evaluate compression fracture in cases of spinal trauma. Aims and objectives: To evaluate compression fractures by magnetic resonance imaging in cases of spinal trauma. To document the spectrum of MRI findings in patients of compression fracture in cases of spinal trauma. To detect additional information about the nature and extent of tissue damage in patients with compression fractures. To study the incidence of injury and MRI morphology of ligaments, spinal cord, intervertebral discs, vertebra and extraspinal soft tissues in patients with compression fractures in cases of spinal trauma. Methods: This study was carried out at Department of Radiology, MGM Medical College and hospital Aurangabad. The study was conducted on 53 patients refereed to department of radiology between May 2018 to September 2019.All scans are done using PHILIPS MULTIVA1.5 tesla MRI system technique with Standard spine coil. Discussion: In our study, 53 patients underwent MRI for evaluation of traumatic compression fractures with majority being males. MRI was helpful in detecting bone marrow edema and was seen in 11 cases. Fractures with vertebral compression generated marrow edema. Most common type of spinal cord injury in our study was cord edema followed by compression. MR imaging is only imaging modality to assess spinal cord injury, to diagnose location and the severity of lesion and to detect cause of spinal cord compression. Conclusions: MRI plays a major role in the diagnosis of SCIs, directing early and prompt management and predicting prognosis of neurological recovery. MR imaging should be considered as primary imaging modality in assessing ligamentous injury. MRI should be recommended in all patients with suspected spinal compression fracture both as a diagnostic and prognostic indicator