Published: 2021-11-25

Ulcerative lesion over tongue: a diagnostic dilemma

Ashfaque Ansari, L. V. Manjusha Bavisetty


Tuberculosis even today remains as the most common infectious disease affecting lungs in India despite having advanced diagnostic testing and a national programme to eradicate this disease. It may present with various clinical appearances, of them tongue tuberculosis is rare and it mimics malignant lingual neoplasms on clinical examination which was rarely described in the literature. In this article we are presenting a 69-year-old patient with tuberculosis of tongue presented as a painful ulcer, so far very few cases reported


Tongue, Tuberculosis, Painful oral ulcer, Chronic solitary ulcer, Oral tuberculosis

Full Text:



Valente VB, Takamiya AS, Ferreira LL, Felipini RC, Biasoli ÉR, Miyahara GI, Bernabé DG. Oral squamous cell carcinoma misdiagnosed as a denture-related traumatic ulcer: A clinical report. J Prosthet Dent. 2016;115(3):259-62.

Global Tuberculosis Report 2020. World Health Organization; Geneva. 2020. Licence: CC BY-NC-SA 3.0 IGO. Available at: https://www.who. int/publications-detail-redirect/9789240013131. Accessed on 23 June 2021.

India T.B REPORT 2021: Ministry of health and family welfare. Available at: com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=&cad=rja&uact=8&ved=2ahUKEwipq5KjyZD0AhUnxzgGHR30D6kQFnoECAYQAQ& Accessed on 23 June 2021.

Al-Rikabi AC, Arafah MA. Tuberculosis of the tongue clinically masquerading as a neoplasm: a case report and literature review. Oman Med J. 2011;26(4):267-8.

Estomba CMC, da Costa ASA, Schmitz TR, Lago PV. Base of tongue tuberculosis: a case report. Iranian J Otorhinolaryngol. 2015;27(80):239.

Islam MN, Khan MMU, Biswas MA, Showkath MS. A Case of Primary tuberculosis of the tongue mimicking malignancy. Bangladesh J Otorhinolaryngol. 2017;23(2):199-202.

Hathiram BT, Grewal DS, Irani DK, Tankwal PM, Patankar M. Tuberculoma of the cheek: a case report. J Laryngol Otol. 1997;111(9):872-3.

Razem B, El Hamid S, Salissou I, Raiteb M, Slimani F. Lingual primary tuberculosis mimicking malignancy. Ann Med Surg (Lond). 2021;67:102525.

Carnelio S, Rodrigues G. Primary lingual tuberculosis: a case report with review of literature. J Oral Sci. 2002;44(1):55-7.