title: Ulcerated Lesion of the Tongue as Manifestation of Systemic Coccidioidomycosis.
abstract: 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 byCoccidioides immitis. After pharmacological treatment, the lesion resolved. Recently, northern Mexico has been reported to be an endemic zone ofC.immitisinfections; 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.
authors.affiliation: Basic Sciences, University of Montemorelos, School of Dentistry, Montemorelos, NL, Mexico.
authors.forename: Luis A
authors.identifier: 0000-0002-8302-0474
authors.initials: LA
authors.lastname: Mendez
authors.affiliation: Oral and Maxillofacial Surgery, IMSS, Saltillo, COAH, Mexico.
authors.forename: Sergio A
authors.initials: SA
authors.lastname: Flores
authors.affiliation: Oral Pathology, University of Montemorelos, School of Dentistry, Montemorelos, NL, Mexico.
authors.forename: Ricardo
authors.initials: R
authors.lastname: Martinez
authors.affiliation: Department of Oral Pathology, University of Campinas, Piracicaba, SP, Brazil.
authors.forename: Oslei Paes
authors.initials: OP
authors.lastname: de Almeida