{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:34:12Z","timestamp":1787776452208,"version":"build-2784847793"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","license":[{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:p>Orofacial tuberculosis is a rare extrapulmonary form of tuberculosis without pathognomic signs and symptoms. Due to its unusual clinical presentation, orofacial tuberculosis (TB) is more often misdiagnosed as other orofacial pathologies and presents a diagnostic challenge in dentistry. One such case is described in the present case report, where a paediatric patient presented with extraoral submandibular swelling that mimicked an odontogenic infection associated with a mandibular primary molar. The treatment plan was formulated considering the condition as an odontogenic infection, and an incision and drainage of the lesion was performed. However, the lesion showed no signs of healing even after medication and surgical management. Eventually, an incisional biopsy was performed, and the results suggested of Tuberculosis. Later, magnetic resonance imaging (MRI) of the neck revealed Tubercular Lymphadenitis of the left submandibular lymph node. As Paediatric Dentist, we should have a broad vision while treating such patients, as many times dentists are the primary health care providers to diagnose tuberculosis in a dental clinic setup through proper history and examination. Tuberculosis, being an endemic problem in a country like India, needs early diagnosis and management to prevent its spread and reduce the health-related burden in the community.<\/jats:p>","DOI":"10.4103\/jfmpc.jfmpc_1333_24","type":"journal-article","created":{"date-parts":[[2025,5,31]],"date-time":"2025-05-31T13:01:07Z","timestamp":1748696467000},"page":"2058-2061","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Orofacial tuberculosis mimicry of odontogenic abscess: A diagnostic dilemma!"],"prefix":"10.4103","volume":"14","author":[{"given":"Mridula","family":"Goswami","sequence":"first","affiliation":[{"name":"Department of Pediatric and Preventive Dentistry, Maulana Azad Institute of Dental Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riya Marie","family":"Johnson","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Preventive Dentistry, Maulana Azad Institute of Dental Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Archana","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Preventive Dentistry, Maulana Azad Institute of Dental Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,5,31]]},"reference":[{"key":"R1-20250602","first-page":"ZE18","article-title":"Oral manifestations of tuberculosis: Step towards early diagnosis","volume":"8","author":"Jain","year":"2014","journal-title":"J Clin Diagn Res"},{"key":"R3-20250602","doi-asserted-by":"crossref","first-page":"21","DOI":"10.2147\/CCIDE.S9733","article-title":"Primary tuberculous lymphadenitis: A case report","volume":"2","author":"Nagalakshmi","year":"2010","journal-title":"Clin Cosmet Investig Dent"},{"key":"R4-20250602","doi-asserted-by":"crossref","first-page":"11","DOI":"10.4103\/2348-3334.126772","article-title":"Oral manifestations of tuberculosis","volume":"1","author":"Kapoor","year":"2014","journal-title":"Chrismed J Health Res"},{"key":"R5-20250602","doi-asserted-by":"crossref","first-page":"555","DOI":"10.1093\/cid\/cir454","article-title":"Current diagnosis and management of peripheral tuberculous lymphadenitis","volume":"53","author":"Fontanilla","year":"2011","journal-title":"Clin Infect Dis"},{"key":"R6-20250602","doi-asserted-by":"crossref","first-page":"979","DOI":"10.1017\/S0022215107006913","article-title":"Tuberculosis in the head and neck: Experience in India","volume":"121","author":"Prasad","year":"2007","journal-title":"J Laryngol Otol"},{"key":"R7-20250602","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1016\/j.crad.2009.09.004","article-title":"Tuberculosis in the head and neck: A forgotten differential diagnosis","volume":"65","author":"Vaid","year":"2010","journal-title":"Clin Radiol"},{"key":"R8-20250602","doi-asserted-by":"crossref","first-page":"e12","DOI":"10.1016\/j.joms.2011.07.020","article-title":"Orofacial tuberculosis\u2013A 16-year experience with 46 cases","volume":"70","author":"Andrade","year":"2012","journal-title":"J Oral Maxillofac Surg"},{"key":"R9-20250602","doi-asserted-by":"crossref","first-page":"265","DOI":"10.15585\/mmwr.mm7312a4","article-title":"Tuberculosis-United States, 2023","volume":"73","author":"Williams","year":"2024","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"R10-20250602","doi-asserted-by":"crossref","first-page":"335","DOI":"10.4103\/2249-4863.161312","article-title":"Orofacial tuberculosis: Clinical manifestations, diagnosis and management","volume":"4","author":"Bansal","year":"2015","journal-title":"J Family Med Prim Care"},{"key":"R11-20250602","doi-asserted-by":"crossref","first-page":"135","DOI":"10.4103\/ijmr.ijmr_382_23","article-title":"The prevalence of tuberculosis infection in India: A systematic review and meta-analysis","volume":"157","author":"Chauhan","year":"2023","journal-title":"Indian J Med Res"},{"key":"R12-20250602","doi-asserted-by":"crossref","first-page":"134","DOI":"10.4103\/0300-1652.182077","article-title":"Tuberculous lymphadenopathy: Experience from the referral center of Northern India","volume":"57","author":"Singh","year":"2016","journal-title":"Niger Med J"},{"key":"R13-20250602","doi-asserted-by":"crossref","first-page":"47","DOI":"10.4046\/trd.2015.78.2.47","article-title":"Diagnosis and treatment of extrapulmonary tuberculosis","volume":"78","author":"Lee","year":"2015","journal-title":"Tuberc Respir Dis (Seoul)"},{"issue":"(3 Pt 1)","key":"R14-20250602","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1177\/019459989310900307","article-title":"Mycobacterial infections of the head and neck","volume":"109","author":"Manolidis","year":"1993","journal-title":"Otolaryngol Head Neck Surg"},{"key":"R15-20250602","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1148\/radiographics.17.2.9084080","article-title":"CT and MR imaging of head and neck tuberculosis","volume":"17","author":"Moon","year":"1997","journal-title":"Radiographics"}],"container-title":["Journal of Family Medicine and Primary Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_1333_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:11:10Z","timestamp":1787775070000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_1333_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5]]},"references-count":14,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jfmpc.jfmpc_1333_24","relation":{},"ISSN":["2249-4863","2278-7135"],"issn-type":[{"value":"2249-4863","type":"print"},{"value":"2278-7135","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5]]},"assertion":[{"value":"2024-08-03","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-26","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}