Primary tuberculosis of mandible.

A 9-year-old male child presented with a gradually increasing swelling of left cheek for 3 months associated with pain for initial few days. There was no history of fever, anorexia, any discharge from swelling, difficulty in chewing or swallowing. Child had received multiple courses of oral antimicrobials. Family history revealed possible contact with tuberculosis. Child had received BCG vaccine in infancy. Anthropometry, general physical and systemic examinations were unremarkable. On local examination, the swelling was diffuse, nontender, and hard in consistency with smooth surface. There was no restriction of movements at temporomandibular joint. There was significant submandibular lymphadenopathy.