case_images: PMC10810071_01
case_images: An intraoral swelling extending from 43 to a retromolar area of 48
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case_images: Intraoral examination revealed a nodular swelling in the right mandibular edentulous region extending from the mandibular first premolar to the retromolar area, as shown in the Figure 1.
case_images: The lesion shows central radio-opacity with radiating lines giving "sun burst appearance"
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case_images: The lesion showed central radio-opacity with radiating lines peripherally giving a "sun burst appearance" [Figure 2].
case_images: Hyphae and Conidial form in (a) KOH (b) Lactophenol cotton blue (c) worm-like organism found in Beetroot stain and (d) Giemsa stain
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case_images: The smear revealed fungi organisms in hyphae and conidial form [Figure 3a and b] reported as Paracoccidiodomycosis for which antifungal treatment was started. Surprisingly, the smear showed a worm-like organism which is thin, slender colorless thread-like with a blunt head and tail tip, free of a nucleus were identified which raised the suspicion of a parasite (Figure 3 [c and d]).
case_images: The first picture cross-section of the mite in the H and E stained section of incisinal biopsy. Peripheral blood smear stained with different cytological stains 2- Leishman, 3-Giemsa, 4 - Beetroot, 5 and 6-PAP
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case_images: The same organisms were identified in peripheral circulation also [Figure 4].
case_images: Live Mite from sample obtained by FNAC
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case_images: Fine Needle Aspiration Cytology (FNAC) was repeated and the cytological smear unexpectedly revealed a Live Mite [Figure 5] was seen which was feeding on blood products.