title: Primary mucocutaneous histoplasmosis in an immunocompetent patient.
abstract: We report a case of primary mucocutaneous histoplasmosis in an immunocompetent individual. The patient, a 61-year-old woman, presented with a non-healing ulcer on the lateral border of her tongue. Excisional biopsy of the lesion was consistent with histoplasmosis and no evidence of pulmonary or disseminated infection was found. Although mucocutaneous infection has been well-described as a manifestation of disseminated disease, especially in immunocompromised individuals, oral infections in immunocompetent patients are rare.
authors.affiliation: The Department of Dermatology The University of Texas Medical School at Houston and MD Anderson Cancer Center  Houston, Texas.
authors.forename: Natalie
authors.initials: N
authors.lastname: Kash
authors.forename: Richard Reza
authors.initials: RR
authors.lastname: Jahan-Tigh
authors.forename: Melissa
authors.initials: M
authors.lastname: Efron-Everett
authors.forename: Nadarajah
authors.initials: N
authors.lastname: Vigneswaran
mesh_terms: D000935:Antifungal Agents / Q000627:therapeutic use; D005260:Female; D006660:Histoplasmosis / Q000175:diagnosis* / Q000188:drug therapy / Q000276:immunology; D006801:Humans; D007121:Immunocompetence; D017964:Itraconazole / Q000627:therapeutic use; D008875:Middle Aged; D014060:Tongue Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000276:immunology / Q000382:microbiology
chemical_list: D000935:Antifungal Agents; D017964:Itraconazole