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Presented by
Dolphine Oda, BDS, MSc
Case and images contributed by: Dr. James Reed, Edmonds, Washington

History of Present Illness
A 47-year-old Hispanic male was referred from the emergency department with left facial swelling, occasional oral bleeding, facial swelling for 5 days, bitter taste, and fevers of up to “99.0 F”. Symptoms and signs had been present for one month.