KROK 1 Stomatology 2012 – Question 192 · KROK (Dentistry)
A 32-year-old patient who lives in the countryside consulted a doctor about a painful swelling and a fistula in the submandibular region. Examination revealed an infiltration with a fistula discharging thick pus and containing white granules. On dissection the infiltration tissues turned out to be dense, yellow-green and had honeycomb structure because of multiple abscesses. What is the most likely diagnosis?
- A. Tuberculosis
- B. Lepra
- C. Actinomycosis
- D. Syphilis
- E. Submandibular abscess
Hint
Focus on the white granules in the pus and the dense, honeycombed infiltrate with fistulas in the submandibular region of a rural patient.
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