case_images: PMC5932522_01
case_images: Initial intraoral clinical appearance showing the moriform aspect in the right buccal floor and alveolar ridge.
case_images: CRIOT2018-1524150.001.jpg
case_images: PMC5932522_01_CRIOT2018-1524150.001.jpg
case_images: fig1
case_images: A granulomatous ulcer with hemorrhagic dots and moriform aspect was observed in the posterior mandibular alveolar ridge and in the right jugal mucosa (Figure 1).
case_images: Ulcerated lesion in the right cervical/submandibular region.
case_images: CRIOT2018-1524150.002.jpg
case_images: PMC5932522_01_CRIOT2018-1524150.002.jpg
case_images: fig2
case_images: He had an ulcerated lesion in the right cervical region with serous exudate (Figure 2).
case_images: Computed tomography cuts showing lymph node enlargement as a hypodense and heterogeneous image in the right submandibular region.
case_images: CRIOT2018-1524150.003.jpg
case_images: PMC5932522_01_CRIOT2018-1524150.003.jpg
case_images: fig3
case_images: CT scan revealed images compatible with cervical lymphadenopathy in the right side and exteriorization of the infectious process through cutaneous fistula (Figure 3). Chest X-ray showed infiltrative lesions with reticulonodular aspect in butterfly-wing shape.
case_images: Anatomopathological examination image.
case_images: CRIOT2018-1524150.004.jpg
case_images: PMC5932522_01_CRIOT2018-1524150.004.jpg
case_images: fig4
case_images: In depth, there were fragments of mineralized tissue and hemorrhagic areas (Figure 4).
case_images: Intraoral oral appearance after antifungal therapy demonstrating lesion regression.
case_images: CRIOT2018-1524150.005.jpg
case_images: PMC5932522_01_CRIOT2018-1524150.005.jpg
case_images: fig5
case_images: After 1-year follow-up, the patient was asymptomatic and presented remission of the oral and cervical lesions (Figures 5 and 6).
case_images: Clinical aspect of the submandibular/cervical region showing the remission of the ulcerated lesion and associated fistula.
case_images: CRIOT2018-1524150.006.jpg
case_images: PMC5932522_01_CRIOT2018-1524150.006.jpg
case_images: fig6
case_images: After 1-year follow-up, the patient was asymptomatic and presented remission of the oral and cervical lesions (Figures 5 and 6).
case_images: PMC5932522_02
case_images: Classical presentation of PMC as exuberant hemorrhagic dots.
case_images: CRIOT2018-1524150.007.jpg
case_images: PMC5932522_02_CRIOT2018-1524150.007.jpg
case_images: fig7
case_images: Clinical examination verified an ulcerated lesion with hemorrhagic dots, a classic aspect of PCM (Figure 7).
case_images: PMC5932522_03
case_images: Frontal view of the patient presenting ulcers on the lips and associated cutaneous erythema.
case_images: CRIOT2018-1524150.008.jpg
case_images: PMC5932522_03_CRIOT2018-1524150.008.jpg
case_images: fig8
case_images: A 57-year-old male patient who was a rural worker and smoker with systemic arterial hypertension attended the outpatient clinic complaining about "sore and pain in the lips and mouth." Clinical examination revealed the presence of erythematous ulcers in the lips and oral mucosa; the patient had a slight limitation of mouth opening due to the inflammatory process installed in the lips (Figures 8 and 9).
case_images: Ulcerated lesion in the jugal mucosa, lips, and buccal commissure.
case_images: CRIOT2018-1524150.009.jpg
case_images: PMC5932522_03_CRIOT2018-1524150.009.jpg
case_images: fig9
case_images: A 57-year-old male patient who was a rural worker and smoker with systemic arterial hypertension attended the outpatient clinic complaining about "sore and pain in the lips and mouth." Clinical examination revealed the presence of erythematous ulcers in the lips and oral mucosa; the patient had a slight limitation of mouth opening due to the inflammatory process installed in the lips (Figures 8 and 9).
case_images: PMC5932522_04
case_images: Ulcerated lesion of approximately 4 cm in the right jugal mucosa and buccal commissure.
case_images: CRIOT2018-1524150.010.jpg
case_images: PMC5932522_04_CRIOT2018-1524150.010.jpg
case_images: fig10
case_images: His main complaint was a "bleeding wound in the mouth." Clinical examination revealed an ulcer lesion of approximately 4 cm associated with hemorrhagic dots (Figure 10).
case_images: PMC5932522_05
case_images: Erythematous lesion in the gums of the right maxilla and associated dental mobility.
case_images: CRIOT2018-1524150.011.jpg
case_images: PMC5932522_05_CRIOT2018-1524150.011.jpg
case_images: fig11
case_images: A 38-year-old male patient who was a rural worker and smoker presented to the clinic, and he denied comorbidities and complained about gingival bleeding when he brushed his teeth (Figure 11).