PMC6572912_01
Clinical photograph showing a necrotic lesion on the right palatine tonsil.
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Physical examination revealed bilateral 2-cm tender, nonfluctuant cervical adenopathy without skin changes, 2+ mild necrotic tonsils ( Figure 1 ), and diffuse aphthous ulcerations throughout the posterior pharyngeal wall, tongue base, and palate.
Coronal view of a contrast-enhanced computed tomography demonstrating bilateral enhancing masses with loculations and necrosis.
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A contrast-enhanced computed tomography (CT) demonstrated bilateral cervical adenopathy with focal necrosis ( Figure 2 ).