Ulcerated Lesion of the Tongue as Manifestation of Systemic Coccidioidomycosis

Abstract EN

Systemic mycoses and their oral manifestations are very rare.

We present a case of a 60-year-old man with an ulcerated lesion on the lateral border of the tongue.

Histologic studies revealed a granulomatous fungal infection by Coccidioides immitis.

After pharmacological treatment, the lesion resolved.

Recently, northern Mexico has been reported to be an endemic zone of C.

immitis infections; therefore it should be considered in the differential diagnosis of mouth lesions.

A comprehensive clinical history, physical exploration, and complementary studies are essential for an accurate diagnosis.