A Case of Pulmonary Tuberculosis Accompanied by Tuberculosis Pleurisy and Tuberculosis of the Tongue

The incidence of extrapulmonary tuberculosis is 10- 15% of all tuberculosis cases. In the group of extrapulmonary tuberculosis cases, tuberculosis of the tongue (0.14-0.2% of all tuberculosis cases) is the most frequent tuberculosis form of the oral cavity. It can be seen as a primary infection, which is very rare and mostly seen in young tuberculosis cases or secondarily, which is seen in the elderly and generally accompanied by active pulmonary tuberculosis. In our case, we encountered a positive sputum smear for acid-fast bacilli, high ADA level in pleural effusion, and granulomatous infection with caseification in the tongue biopsy and started to administer antituberculosis treatment. As three forms of tuberculosis could be seen together in our case, we attempted to highlight that tuberculosis of the tongue should be considered in oral cavity lesions.