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Case Reports in Medicine
Volume 2017, Article ID 1489501, 3 pages
Case Report

Ulcerated Lesion of the Tongue as Manifestation of Systemic Coccidioidomycosis

1Basic Sciences, University of Montemorelos, School of Dentistry, Montemorelos, NL, Mexico
2Oral and Maxillofacial Surgery, IMSS, Saltillo, COAH, Mexico
3Oral Pathology, University of Montemorelos, School of Dentistry, Montemorelos, NL, Mexico
4Department of Oral Pathology, University of Campinas, Piracicaba, SP, Brazil

Correspondence should be addressed to Luis A. Mendez;

Received 21 December 2016; Revised 24 February 2017; Accepted 1 March 2017; Published 13 March 2017

Academic Editor: Dante Amato

Copyright © 2017 Luis A. Mendez et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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.