{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T14:46:46Z","timestamp":1787237206195,"version":"build-2736575974"},"reference-count":14,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2024,8,8]],"date-time":"2024-08-08T00:00:00Z","timestamp":1723075200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>A 78-year-old man with a previous diagnosis of rheumatoid arthritis on prolonged treatment with corticosteroids presented with intense and progressive pain at the cervical level that prevented him from resting his head and walking, in addition to an ulcerative lesion covering 80% of the lingual area that was previously treated as oral candidiasis without improvement. On arrival, with no clinical or serological data of rheumatoid arthritis, immunosuppressive treatment was suspended, and a biopsy of the oral cavity was requested, confirming the diagnosis of lingual tuberculosis, an extremely rare disease, occurring in less than 1% of extrapulmonary cases. MRI of the cervical spine showed a crush fracture of the C6 and C7 bodies associated with spondylitis of probably infectious etiology that required surgical treatment, and histopathological studies confirmed Pott\u2019s disease. The patient displayed no evidence of pulmonary tuberculosis from arrival until the end of the follow-up.<\/jats:p>","DOI":"10.3390\/medicina60081282","type":"journal-article","created":{"date-parts":[[2024,8,8]],"date-time":"2024-08-08T12:13:14Z","timestamp":1723119194000},"page":"1282","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Tongue Tuberculosis as a Complication of Pott\u2019s Disease in a Patient on Systemic Steroid Therapy without Pulmonary Tuberculosis"],"prefix":"10.3390","volume":"60","author":[{"given":"Samuel","family":"Sevilla-Fuentes","sequence":"first","affiliation":[{"name":"Hospital General de Zona 1 \u201cEmilio Varela Luj\u00e1n\u201d, Zacatecas 98000, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis \u00c1ngel","family":"Mendoza-Vargas","sequence":"additional","affiliation":[{"name":"Hospital General de Zona 1 \u201cEmilio Varela Luj\u00e1n\u201d, Zacatecas 98000, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Francisco","family":"Araiza-Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Hospital General \u201cDr. Manuel Gea Gonz\u00e1lez\u201d, Mexico City 14080, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bertha","family":"Bertha\u00fad-Gonz\u00e1lez","sequence":"additional","affiliation":[{"name":"Hospital General de Zacatecas \u201cLuz Gonz\u00e1lez Cos\u00edo\u201d, Zacatecas 98160, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6877-8124","authenticated-orcid":false,"given":"Ramc\u00e9s","family":"Falf\u00e1n-Valencia","sequence":"additional","affiliation":[{"name":"Laboratorio HLA, Instituto Nacional de Enfermedades Respiratorias Ismael Cos\u00edo Villegas, Mexico City 14080, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5975-6724","authenticated-orcid":false,"given":"Brandon","family":"Bautista-Becerril","sequence":"additional","affiliation":[{"name":"Laboratorio HLA, Instituto Nacional de Enfermedades Respiratorias Ismael Cos\u00edo Villegas, Mexico City 14080, Mexico"},{"name":"Secci\u00f3n de Estudios de Posgrado e Investigaci\u00f3n, Escuela Superior de Medicina, Instituto Polit\u00e9cnico Nacional, Mexico City 11340, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,8,8]]},"reference":[{"key":"ref_1","unstructured":"Center for Disease Control and Prevention (2023). CDC, TB, Data and Statistics."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Zhang, G., Yu, Y., Zhang, W., Shang, J., Chen, S., Pang, X., Oeltmann, J.E., Moonan, P.K., Chen, M., and Zhang, F. (2022). Influence of COVID-19 for delaying the diagnosis and treatment of pulmonary tuberculosis-Tianjin, China. Front. Public Health, 10.","DOI":"10.3389\/fpubh.2022.937844"},{"key":"ref_3","unstructured":"National Institute of Allergy and Infectious Diseases (2024). 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Available online: https:\/\/www.uptodate.com\/contents\/diagnosis-of-pulmonary-tuberculosis-in-adults."},{"key":"ref_8","unstructured":"Bernardo, J. (2024, August 01). Diagnosis of Pulmonary Tuberculosis in Adults. Available online: https:\/\/medilib.ir\/uptodate\/show\/111683."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1097\/00000658-188807000-00153","article-title":"Excision of the Tongue Followed by Death from Acute Miliary Tuberculosis","volume":"8","author":"Shepherd","year":"1888","journal-title":"Ann. 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Pract."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1002\/art.21705","article-title":"Glucocorticoid use, other associated factors, and the risk of tuberculosis","volume":"55","author":"Jick","year":"2006","journal-title":"Arthritis Rheum."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"e3358","DOI":"10.1093\/cid\/ciaa1742","article-title":"Risk Factors for Tuberculosis (TB) Among Household Contacts of Patients with Smear-Positive TB in 8 Provinces of Vietnam: A Nested Case-Control Study","volume":"73","author":"Velen","year":"2021","journal-title":"Clin. Infect. 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