PMC5506475_01
Ulcerated lesion of left lateral border of tongue (photograph was taken after incisional biopsy).
CRIOT2017-8416963.001.jpg
PMC5506475_01_CRIOT2017-8416963.001.jpg
fig1
On general examination he was thin built with general conditions being fair, while, on examination of oral cavity, there was an indurated ulcer measuring 1.0 cm x 0.5 cm on the left lateral border of tongue on the anterior two-third part of tongue (Figure 1).
Histopathological picture showing epithelioid cells, Langhans cells, and foci of caseous necrosis.
CRIOT2017-8416963.002.jpg
PMC5506475_01_CRIOT2017-8416963.002.jpg
fig2
Microscopically the lesion revealed the stratified squamous epithelium with granulomatous inflammation containing Langhans type giant cells, epithelioid cells, and foci of caseous necrosis, strongly suggestive of tuberculosis (Figure 2).
Complete disappearance of ulcerated lesion at the end of 2-month course of antituberculous therapy (ATT).
CRIOT2017-8416963.003.jpg
PMC5506475_01_CRIOT2017-8416963.003.jpg
fig3
The patient felt symptomatically better after the start of ATT; and the tuberculous ulcer healed completely by the 2 months of ATT containing Isoniazid, Rifampicin, Pyrazinamide, and Ethambutol (Figure 3).