case_images: PMC5506475_01
case_images: Ulcerated lesion of left lateral border of tongue (photograph was taken after incisional biopsy).
case_images: CRIOT2017-8416963.001.jpg
case_images: PMC5506475_01_CRIOT2017-8416963.001.jpg
case_images: fig1
case_images: 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).
case_images: Histopathological picture showing epithelioid cells, Langhans cells, and foci of caseous necrosis.
case_images: CRIOT2017-8416963.002.jpg
case_images: PMC5506475_01_CRIOT2017-8416963.002.jpg
case_images: fig2
case_images: 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).
case_images: Complete disappearance of ulcerated lesion at the end of 2-month course of antituberculous therapy (ATT).
case_images: CRIOT2017-8416963.003.jpg
case_images: PMC5506475_01_CRIOT2017-8416963.003.jpg
case_images: fig3
case_images: 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).