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Case Reports in Otolaryngology
Volume 2012, Article ID 517415, 4 pages
http://dx.doi.org/10.1155/2012/517415
Case Report

Cryptococcal Tongue Lesion in a Stem Cell Transplant Patient: First Reported Case

1Department of Otolaryngology-Head and Neck Surgery, University of Southern California, 1200 N State Street, Los Angeles, CA 90033, USA
2Division of Infectious Disease, City of Hope National Medical Center, 1500 East Duarte Road, Duarte, CA 91010, USA
3Division of Otolaryngology-Head and Neck Surgery, City of Hope National Medical Center, 1500 East Duarte Road, Duarte, CA 91010, USA

Received 2 April 2012; Accepted 8 June 2012

Academic Editors: D. K. Chhetri and G. Zhou

Copyright © 2012 David R. Reinstadler 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.

Abstract

A compromised immune system places individuals at a significantly higher risk for many infectious processes. Immunosuppression also increases the risk of malignancy due to the body's decreased ability to perform its normal immunosurveilance and response. It is therefore imperative to have regular thorough evaluations of these patients, as slight abnormalities may be the early signs of infection or neoplasm. We present the first reported case of a tongue lesion in a stem cell transplant patient, highly concerning for malignancy, which was found to be a mucocutaneous presentation of disseminated Cryptococcus.