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Dr Mohan Z Mani

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Believers Church Medical College,
Thiruvalla, Kerala
On Sep 2018




Prof. Somashekhar Nimbalkar

"Over the last few years, we have published our research regularly in Journal of Clinical and Diagnostic Research. Having published in more than 20 high impact journals over the last five years including several high impact ones and reviewing articles for even more journals across my fields of interest, we value our published work in JCDR for their high standards in publishing scientific articles. The ease of submission, the rapid reviews in under a month, the high quality of their reviewers and keen attention to the final process of proofs and publication, ensure that there are no mistakes in the final article. We have been asked clarifications on several occasions and have been happy to provide them and it exemplifies the commitment to quality of the team at JCDR."



Prof. Somashekhar Nimbalkar
Head, Department of Pediatrics, Pramukhswami Medical College, Karamsad
Chairman, Research Group, Charutar Arogya Mandal, Karamsad
National Joint Coordinator - Advanced IAP NNF NRP Program
Ex-Member, Governing Body, National Neonatology Forum, New Delhi
Ex-President - National Neonatology Forum Gujarat State Chapter
Department of Pediatrics, Pramukhswami Medical College, Karamsad, Anand, Gujarat.
On Sep 2018




Dr. Kalyani R

"Journal of Clinical and Diagnostic Research is at present a well-known Indian originated scientific journal which started with a humble beginning. I have been associated with this journal since many years. I appreciate the Editor, Dr. Hemant Jain, for his constant effort in bringing up this journal to the present status right from the scratch. The journal is multidisciplinary. It encourages in publishing the scientific articles from postgraduates and also the beginners who start their career. At the same time the journal also caters for the high quality articles from specialty and super-specialty researchers. Hence it provides a platform for the scientist and researchers to publish. The other aspect of it is, the readers get the information regarding the most recent developments in science which can be used for teaching, research, treating patients and to some extent take preventive measures against certain diseases. The journal is contributing immensely to the society at national and international level."



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Professor and Head
Department of Pathology
Sri Devaraj Urs Medical College
Sri Devaraj Urs Academy of Higher Education and Research , Kolar, Karnataka
On Sep 2018




Dr. Saumya Navit

"As a peer-reviewed journal, the Journal of Clinical and Diagnostic Research provides an opportunity to researchers, scientists and budding professionals to explore the developments in the field of medicine and dentistry and their varied specialities, thus extending our view on biological diversities of living species in relation to medicine.
‘Knowledge is treasure of a wise man.’ The free access of this journal provides an immense scope of learning for the both the old and the young in field of medicine and dentistry as well. The multidisciplinary nature of the journal makes it a better platform to absorb all that is being researched and developed. The publication process is systematic and professional. Online submission, publication and peer reviewing makes it a user-friendly journal.
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I wish JCDR a great success and I hope that journal will soar higher with the passing time."



Dr Saumya Navit
Professor and Head
Department of Pediatric Dentistry
Saraswati Dental College
Lucknow
On Sep 2018




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"My sincere attachment with JCDR as an author as well as reviewer is a learning experience . Their systematic approach in publication of article in various categories is really praiseworthy.
Their prompt and timely response to review's query and the manner in which they have set the reviewing process helps in extracting the best possible scientific writings for publication.
It's a honour and pride to be a part of the JCDR team. My very best wishes to JCDR and hope it will sparkle up above the sky as a high indexed journal in near future."



Dr. Arunava Biswas
MD, DM (Clinical Pharmacology)
Assistant Professor
Department of Pharmacology
Calcutta National Medical College & Hospital , Kolkata




Dr. C.S. Ramesh Babu
" Journal of Clinical and Diagnostic Research (JCDR) is a multi-specialty medical and dental journal publishing high quality research articles in almost all branches of medicine. The quality of printing of figures and tables is excellent and comparable to any International journal. An added advantage is nominal publication charges and monthly issue of the journal and more chances of an article being accepted for publication. Moreover being a multi-specialty journal an article concerning a particular specialty has a wider reach of readers of other related specialties also. As an author and reviewer for several years I find this Journal most suitable and highly recommend this Journal."
Best regards,
C.S. Ramesh Babu,
Associate Professor of Anatomy,
Muzaffarnagar Medical College,
Muzaffarnagar.
On Aug 2018




Dr. Arundhathi. S
"Journal of Clinical and Diagnostic Research (JCDR) is a reputed peer reviewed journal and is constantly involved in publishing high quality research articles related to medicine. Its been a great pleasure to be associated with this esteemed journal as a reviewer and as an author for a couple of years. The editorial board consists of many dedicated and reputed experts as its members and they are doing an appreciable work in guiding budding researchers. JCDR is doing a commendable job in scientific research by promoting excellent quality research & review articles and case reports & series. The reviewers provide appropriate suggestions that improve the quality of articles. I strongly recommend my fraternity to encourage JCDR by contributing their valuable research work in this widely accepted, user friendly journal. I hope my collaboration with JCDR will continue for a long time".



Dr. Arundhathi. S
MBBS, MD (Pathology),
Sanjay Gandhi institute of trauma and orthopedics,
Bengaluru.
On Aug 2018




Dr. Mamta Gupta,
"It gives me great pleasure to be associated with JCDR, since last 2-3 years. Since then I have authored, co-authored and reviewed about 25 articles in JCDR. I thank JCDR for giving me an opportunity to improve my own skills as an author and a reviewer.
It 's a multispecialty journal, publishing high quality articles. It gives a platform to the authors to publish their research work which can be available for everyone across the globe to read. The best thing about JCDR is that the full articles of all medical specialties are available as pdf/html for reading free of cost or without institutional subscription, which is not there for other journals. For those who have problem in writing manuscript or do statistical work, JCDR comes for their rescue.
The journal has a monthly publication and the articles are published quite fast. In time compared to other journals. The on-line first publication is also a great advantage and facility to review one's own articles before going to print. The response to any query and permission if required, is quite fast; this is quite commendable. I have a very good experience about seeking quick permission for quoting a photograph (Fig.) from a JCDR article for my chapter authored in an E book. I never thought it would be so easy. No hassles.
Reviewing articles is no less a pain staking process and requires in depth perception, knowledge about the topic for review. It requires time and concentration, yet I enjoy doing it. The JCDR website especially for the reviewers is quite user friendly. My suggestions for improving the journal is, more strict review process, so that only high quality articles are published. I find a a good number of articles in Obst. Gynae, hence, a new journal for this specialty titled JCDR-OG can be started. May be a bimonthly or quarterly publication to begin with. Only selected articles should find a place in it.
An yearly reward for the best article authored can also incentivize the authors. Though the process of finding the best article will be not be very easy. I do not know how reviewing process can be improved. If an article is being reviewed by two reviewers, then opinion of one can be communicated to the other or the final opinion of the editor can be communicated to the reviewer if requested for. This will help one’s reviewing skills.
My best wishes to Dr. Hemant Jain and all the editorial staff of JCDR for their untiring efforts to bring out this journal. I strongly recommend medical fraternity to publish their valuable research work in this esteemed journal, JCDR".



Dr. Mamta Gupta
Consultant
(Ex HOD Obs &Gynae, Hindu Rao Hospital and associated NDMC Medical College, Delhi)
Aug 2018




Dr. Rajendra Kumar Ghritlaharey

"I wish to thank Dr. Hemant Jain, Editor-in-Chief Journal of Clinical and Diagnostic Research (JCDR), for asking me to write up few words.
Writing is the representation of language in a textual medium i e; into the words and sentences on paper. Quality medical manuscript writing in particular, demands not only a high-quality research, but also requires accurate and concise communication of findings and conclusions, with adherence to particular journal guidelines. In medical field whether working in teaching, private, or in corporate institution, everyone wants to excel in his / her own field and get recognised by making manuscripts publication.


Authors are the souls of any journal, and deserve much respect. To publish a journal manuscripts are needed from authors. Authors have a great responsibility for producing facts of their work in terms of number and results truthfully and an individual honesty is expected from authors in this regards. Both ways its true "No authors-No manuscripts-No journals" and "No journals–No manuscripts–No authors". Reviewing a manuscript is also a very responsible and important task of any peer-reviewed journal and to be taken seriously. It needs knowledge on the subject, sincerity, honesty and determination. Although the process of reviewing a manuscript is a time consuming task butit is expected to give one's best remarks within the time frame of the journal.
Salient features of the JCDR: It is a biomedical, multidisciplinary (including all medical and dental specialities), e-journal, with wide scope and extensive author support. At the same time, a free text of manuscript is available in HTML and PDF format. There is fast growing authorship and readership with JCDR as this can be judged by the number of articles published in it i e; in Feb 2007 of its first issue, it contained 5 articles only, and now in its recent volume published in April 2011, it contained 67 manuscripts. This e-journal is fulfilling the commitments and objectives sincerely, (as stated by Editor-in-chief in his preface to first edition) i e; to encourage physicians through the internet, especially from the developing countries who witness a spectrum of disease and acquire a wealth of knowledge to publish their experiences to benefit the medical community in patients care. I also feel that many of us have work of substance, newer ideas, adequate clinical materials but poor in medical writing and hesitation to submit the work and need help. JCDR provides authors help in this regards.
Timely publication of journal: Publication of manuscripts and bringing out the issue in time is one of the positive aspects of JCDR and is possible with strong support team in terms of peer reviewers, proof reading, language check, computer operators, etc. This is one of the great reasons for authors to submit their work with JCDR. Another best part of JCDR is "Online first Publications" facilities available for the authors. This facility not only provides the prompt publications of the manuscripts but at the same time also early availability of the manuscripts for the readers.
Indexation and online availability: Indexation transforms the journal in some sense from its local ownership to the worldwide professional community and to the public.JCDR is indexed with Embase & EMbiology, Google Scholar, Index Copernicus, Chemical Abstracts Service, Journal seek Database, Indian Science Abstracts, to name few of them. Manuscriptspublished in JCDR are available on major search engines ie; google, yahoo, msn.
In the era of fast growing newer technologies, and in computer and internet friendly environment the manuscripts preparation, submission, review, revision, etc and all can be done and checked with a click from all corer of the world, at any time. Of course there is always a scope for improvement in every field and none is perfect. To progress, one needs to identify the areas of one's weakness and to strengthen them.
It is well said that "happy beginning is half done" and it fits perfectly with JCDR. It has grown considerably and I feel it has already grown up from its infancy to adolescence, achieving the status of standard online e-journal form Indian continent since its inception in Feb 2007. This had been made possible due to the efforts and the hard work put in it. The way the JCDR is improving with every new volume, with good quality original manuscripts, makes it a quality journal for readers. I must thank and congratulate Dr Hemant Jain, Editor-in-Chief JCDR and his team for their sincere efforts, dedication, and determination for making JCDR a fast growing journal.
Every one of us: authors, reviewers, editors, and publisher are responsible for enhancing the stature of the journal. I wish for a great success for JCDR."



Thanking you
With sincere regards
Dr. Rajendra Kumar Ghritlaharey, M.S., M. Ch., FAIS
Associate Professor,
Department of Paediatric Surgery, Gandhi Medical College & Associated
Kamla Nehru & Hamidia Hospitals Bhopal, Madhya Pradesh 462 001 (India)
E-mail: drrajendrak1@rediffmail.com
On May 11,2011




Dr. Shankar P.R.

"On looking back through my Gmail archives after being requested by the journal to write a short editorial about my experiences of publishing with the Journal of Clinical and Diagnostic Research (JCDR), I came across an e-mail from Dr. Hemant Jain, Editor, in March 2007, which introduced the new electronic journal. The main features of the journal which were outlined in the e-mail were extensive author support, cash rewards, the peer review process, and other salient features of the journal.
Over a span of over four years, we (I and my colleagues) have published around 25 articles in the journal. In this editorial, I plan to briefly discuss my experiences of publishing with JCDR and the strengths of the journal and to finally address the areas for improvement.
My experiences of publishing with JCDR: Overall, my experiences of publishing withJCDR have been positive. The best point about the journal is that it responds to queries from the author. This may seem to be simple and not too much to ask for, but unfortunately, many journals in the subcontinent and from many developing countries do not respond or they respond with a long delay to the queries from the authors 1. The reasons could be many, including lack of optimal secretarial and other support. Another problem with many journals is the slowness of the review process. Editorial processing and peer review can take anywhere between a year to two years with some journals. Also, some journals do not keep the contributors informed about the progress of the review process. Due to the long review process, the articles can lose their relevance and topicality. A major benefit with JCDR is the timeliness and promptness of its response. In Dr Jain's e-mail which was sent to me in 2007, before the introduction of the Pre-publishing system, he had stated that he had received my submission and that he would get back to me within seven days and he did!
Most of the manuscripts are published within 3 to 4 months of their submission if they are found to be suitable after the review process. JCDR is published bimonthly and the accepted articles were usually published in the next issue. Recently, due to the increased volume of the submissions, the review process has become slower and it ?? Section can take from 4 to 6 months for the articles to be reviewed. The journal has an extensive author support system and it has recently introduced a paid expedited review process. The journal also mentions the average time for processing the manuscript under different submission systems - regular submission and expedited review.
Strengths of the journal: The journal has an online first facility in which the accepted manuscripts may be published on the website before being included in a regular issue of the journal. This cuts down the time between their acceptance and the publication. The journal is indexed in many databases, though not in PubMed. The editorial board should now take steps to index the journal in PubMed. The journal has a system of notifying readers through e-mail when a new issue is released. Also, the articles are available in both the HTML and the PDF formats. I especially like the new and colorful page format of the journal. Also, the access statistics of the articles are available. The prepublication and the manuscript tracking system are also helpful for the authors.
Areas for improvement: In certain cases, I felt that the peer review process of the manuscripts was not up to international standards and that it should be strengthened. Also, the number of manuscripts in an issue is high and it may be difficult for readers to go through all of them. The journal can consider tightening of the peer review process and increasing the quality standards for the acceptance of the manuscripts. I faced occasional problems with the online manuscript submission (Pre-publishing) system, which have to be addressed.
Overall, the publishing process with JCDR has been smooth, quick and relatively hassle free and I can recommend other authors to consider the journal as an outlet for their work."



Dr. P. Ravi Shankar
KIST Medical College, P.O. Box 14142, Kathmandu, Nepal.
E-mail: ravi.dr.shankar@gmail.com
On April 2011
Anuradha

Dear team JCDR, I would like to thank you for the very professional and polite service provided by everyone at JCDR. While i have been in the field of writing and editing for sometime, this has been my first attempt in publishing a scientific paper.Thank you for hand-holding me through the process.


Dr. Anuradha
E-mail: anuradha2nittur@gmail.com
On Jan 2020

Important Notice

Case report
Year : 2023 | Month : January | Volume : 17 | Issue : 1 | Page : ZD22 - ZD25 Full Version

Primary Oral Tuberculosis Imitating Malignancy- A Rare Case Report


Published: January 1, 2023 | DOI: https://doi.org/10.7860/JCDR/2023/57261.17416
Pulin Saluja, Aparna Dave, Manpreet Arora, Ishita Singhal

1. Reader, Department of Oral Pathology, SGT Dental College, Gurugram, Haryana, India. 2. Professor and Head, Department of Oral Pathology, SGT Dental College, Gurugram, Haryana, India. 3. Professor, Department of Oral Pathology, SGT Dental College, Gurugram, Haryana, India. 4. Postgraduate Student, Department of Oral Pathology, SGT Dental College, Gurugram, Haryana, India.

Correspondence Address :
Dr. Aparna Dave,
Professor and Head, Department of Oral Pathology, SGT Dental College, Gurugram, Gurugram, India.
E-mail: aparna.dave@sgtuniversity.org

Abstract

Tuberculosis is caused by Mycobacterium tuberculosis and is an ancient disease causing major morbidity and mortality worldwide. Though tuberculosis affects lungs in the majority of the cases but can affect other organs including the oral cavity as a primary site. Oral lesions can be seen in both primary and secondary forms of tuberculosis. The present article reports a case of a primary oral tubercular ulcer of buccal mucosa in a 36-year-old female, which based on clinical features was provisionally diagnosed as squamous cell carcinoma. The diagnosis of oral tuberculosis was confirmed by histopathology, blood and immunological investigations. The patient then was kept on Antitubercular Therapy (ATT) and the lesion showed healing markedly. Thus, oral tubercular lesions are rare and are difficult to diagnose, so every chronic, abnormal looking lesion should be examined cautiously for early diagnosis and prompt treatment.

Keywords

Granuloma, Grocott’s silver stains, Mycobacterium tuberculosis, Oral ulcer

Case Report

A female patient of age 36 years visited the dental Outpatient Department (OPD) with a chief complaint of pain and non healing ulcer in the lower left back tooth region for 30 days. Initially, the ulcer was painless but became sore after two weeks. She had taken a course of antibiotics but there was no relief. No history of fever, weight loss, cough and expectoration reported. There was no relevant medical or any other dental history.

Intraoral examination revealed a single ulcer in the buccal vestibule in relation to 36, 37 and 38 region, extending from the mesial surface of 36 to the distal surface of 38, measuring 2.5x3 cm, with a shallow ulcerated base and ill-defined margins. The ulcer had white edges and indurated borders covered with whitish-yellow exudate. Her left submandibular lymph node was found to be palpable and firm in consistency, but was non tender and was not fixed to the underlying tissues (Table/Fig 1).

Based on the clinical examination, a provisional diagnosis of squamous cell carcinoma or any other malignancy was made and an incisional biopsy was advised. The patient had refused for incisional biopsy and was lost to follow-up. She returned after two weeks with a history of extraction of 38 from a private dental practitioner and persisted with the lesion.

As part of the investigations, the patient was advised for a chest radiograph and no remarkable changes were seen (Table/Fig 2). Hematological investigations revealed all parameters within the normal range except for a low Hemoglobin level (7.9 gm%) and raised erythrocyte sedimentation rate (90 mm/hour).

Later incisional biopsy was taken and on microscopic examination of the haematoxylin and eosin stained tissue section revealed fibrous connective tissue stroma exhibiting very dense inflammatory cell infiltrate, numerous blood vessels with granuloma formation which was predominantly composed of epitheloid cells, Langhan’s giant cells and lymphocytes (Table/Fig 3),(Table/Fig 4).

The overlying stratified squamous epithelium was proliferative. But there was no feature of malignancy seen in the tissue. Based on the histopathological findings, it was believed to consider granulomatous infections in the differential diagnosis of the lesion. Therefore, the sections were subjected to special staining. To rule out fungal infections Periodic-acid Schiff (PAS) and Grocott’s Silver stains were done which turned out to be negative. Similarly Gram stain to rule out bacterial infections was also negative. Also, the Ziehl-Neelsen stain did not give a positive result. But still, the possibility of Tuberculosis was not ruled out.

Due to the non availability of Polymerase Chain Reaction (PCR) at the tertiary care center, the patient was advised for QuantiFERON-TB Gold (an interferon-gamma (IFN- γ) release assay) test that aids in the detection of Mycobacterium (M) tuberculosis. This test is considered to be a good alternative to the Tuberculin skin test The test confirmed the presence of antibodies against mycobacterium tuberculosis. For further opinion and treatment the patient was asked to consult the physician, where she was initiated with World Heath Organisation (WHO) recommended category 1 Anti-tubercular Therapy (ATT) Directly Observed Treatment, Short Course (DOTS). Her condition started improving dramatically after a few days and after six months of ATT, the oral condition improved markedly (Table/Fig 5).

Discussion

Tuberculosis caused by Mycobacterium tuberculosis is an ancient disease existing in society for thousands of years but still has much to explore (1). Though the cases have shown a declining trend in recent years it remains a major health problem (2). Looking at the global picture approximately 10 million people have suffered from tuberculosis in 2019 (1). And Indian picture is even more fearsome with 2.8 million cases yearly thus making the maximum incidence of Tuberculosis (TB) in the world. Over 435,000 Indian lives are claimed by TB every year which puts tuberculosis in the list of top ten etiologies of casualities occurring in our nation (3),(4). Though it is progressing towards better but it is going very slowly. As per anticipation it will not be possible for the world to end TB by 2035 as it has been visualised in the End TB Strategy (5).

Its prevalence ranges from 0.5-1% of all cases of tuberculosis (6). Though tuberculosis affects the lungs in a majority of the cases but can affect other organs including the brain, kidney, spine and oral cavity. Oral TB is considered a rare disease (7). To the best of authors knowledge, primary oral TB is a very rare entity and the number of cases reported in literature is very less so far (4),(5).

Oral lesions are rare. Few characteristic features that are responsible for less number of cases seen include an intact oral epithelium, less number of lymphoid follicles and a regular cleansing of oral mucosa by saliva (8). It has been believed that a breach in the continuity of the oral epithelium results in the primary inoculation by the bacilli present in the sputum (9).

Chronic irritation or inflammation might favor the localisation of the organism and a small tear facilitates the entry into mucosa (10). Poor oral hygiene, trauma, dental extraction, cysts, abscesses, leukoplakia, periapical granulomas periodontitis are the local predisposing factors (11),(12). In the present case, the poor oral hygiene could have been one possible reason for the bacterial spread as there was gingivitis and periodontitis seen.

Though oral TB lesions can be primary or secondary in occurrence majority of them encountered in the mouth are secondary to infections of lungs (13). Primary lesions are not common and are usually seen in younger patients whereas secondary lesions are common and are seen in association with pulmonary disease in middle-aged and elderly patients (14). Contrary to this, the indexed case report case presented as a primary lesion in a middle-aged female.

Oral TB though can affect any part of the oral cavity, the most commonly affected site include tongue, palate, palatine tonsil, lips, buccal mucosa, gingiva, floor of the mouth and salivary glands. Out of these sites tongue is the most common site of involvement (13). It has also been described in the literature that dental practice can also transmit the infection (14). Therefore, clinicians should be aware and should look for the symptoms associated with primary TB which is the active source of secondary TB so that the disease can be diagnosed early and prompt treatment can prevent further debilitation (14),(15).

Three forms of oral TB have been described namely acute miliary, chronic ulcerative and lupus vulgaris (16). Out of all the three forms of TB, most of the lesions present themselves a s ulcerations and are seen most commonly (about 93%) on the tongue. (17),(18),(20). This case also presented as a chronic non healing ulcer but on buccal mucosa.

The important feature of tubercular ulcer is that it is often single (21). Margins of the lesion are irregular, indurated, undermined and ragged. The floor of the ulcer can be shielded with yellowish exudate or bluish granules, which was similar to this case (22),(23).

Clinicians should be cautious about the chronic non healing ulcers in the oral cavity and should consider TB in the differential diagnosis as at times syphilitic ulcers, malignant ulcers and other granulomatous ulcers may have similar presentation (Table/Fig 6). Nanda KD et al., Von Arx DP and Husain A and Ram H et al., have also reported such occurrences in the past and their findings are consistent with the present case (14),(19),(23).

It becomes imperative for the practitioner to completely examine the patient including signs and symptoms of pulmonary TB with various available diagnostic tests inclusive of clinical, radiological, bacteriological and serological examination. This should be followed by a biopsy for histopathological examination and PCR analysis that can further help in the final diagnosis (24).

Special stains play an important role in diagnosing bacterial infections (25). But in this case, Ziehl Neelsen stain was negative and it still did not rule out TB as many studies have reported that very small percentage of biopsy specimens or cytosmears impart positive staining for acid-fast bacilli due to the paucity of organisms in sputum (26). In this case, PCR could not be performed due to non availability at the tertiary center. Clinical history, radiological examination and immunological tests helped in making the final diagnosis. There was no history of trauma which ruled out any traumatic or aphthous ulcer, further the squamous cell carcinoma was also ruled out due to no evidence of carcinomatous changes on histopathological examination. Raised ESR and positive TB Gold test helped in diagnosing the lesion.

Conclusion

Oral tubercular lesions are rare and are difficult to diagnose, so every chronic, abnormal looking lesion should be examined cautiously for early diagnosis and prompt treatment. Diagnosing the disease early can reduce the mortality and morbidity of the patients.

References

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Chakaya J, Khan M, Ntoumi F, Aklillu E, Fatima R, Mwaba P, et al Reflections on the Global TB burden, treatment and prevention efforts. Int J Infect Dis. 2021;113(Suppl 1):S7-S12. [crossref] [PubMed]
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Klepacz J, Peterson R, Kurnatowska AJ. Tuberculosis in oral cavity - a case report [Polish] Porad Stomatol. 2008;8:169-72.
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Furugen M, Nakamura H, Tamaki Y, Haranaga S, Yara S, Higa F et al., Tuberculosis of the tongue initially suspected of tongue cancer: a case report--including the search for recent 16 cases in Japan. Kekkaku 2009; 84(8): 605-10.
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Von Arx DP, Husain A. Oral tuberculosis. Br Dent J. 2001;190:420-22. [crossref] [PubMed]
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Ucińska R, Sieminńska A, Slominński JM. Tuberculosis of the tongue. Case Rep Clin Pract Rev. 2002;3:102-04.
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Kamala R, Sinha A, Srivastava A, Srivastava S. Primary tuberculosis of the oral cavity. Indian J Dent Res. 2011;22:835-38. [crossref] [PubMed]
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Michalak A, Wojtas G, Kidawa I, Tylz . anowska-Nitek K. Tuberculosis of tongue in patient with disseminated pulmonary tuberculosis. Advances in Respiratory Medicine. 2004;72(1-2):28-32. [crossref]
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Ram H, Kumar S, Mehrotra S, Mohommad S. Tubercular ulcer: mimicking squamous cell carcinoma of buccal mucosa. J Maxillofac Oral Surg. 2012;11:105-08. [crossref] [PubMed]
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Klepacz J, Peterson R, Kurnatowska AJ. Tuberculosis in oral cavity - a case report [Polish] Porad Stomatol. 2008;8:169-72.
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DOI and Others

DOI: 10.7860/JCDR/2023/57261.17416

Date of Submission: Apr 22, 2022
Date of Peer Review: May 27, 2022
Date of Acceptance: Oct 29, 2022
Date of Publishing: Jan 01, 2023

AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. Yes

PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Apr 24, 2022
• Manual Googling: Oct 11, 2022
• iThenticate Software: Oct 28, 2022 (20%)

ETYMOLOGY: Author Origin

JCDR is now Monthly and more widely Indexed .
  • Emerging Sources Citation Index (Web of Science, thomsonreuters)
  • Index Copernicus ICV 2017: 134.54
  • Academic Search Complete Database
  • Directory of Open Access Journals (DOAJ)
  • Embase
  • EBSCOhost
  • Google Scholar
  • HINARI Access to Research in Health Programme
  • Indian Science Abstracts (ISA)
  • Journal seek Database
  • Google
  • Popline (reproductive health literature)
  • www.omnimedicalsearch.com