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A 24-year-old man presented with black discoloration and hairy appearance of his tongue, which he had had for 2 days, and a sore throat. He had been taking ciprofloxacin and doxycycline for the past week for an upper respiratory tract infection. He did not smoke or use oral tobacco products, and he was not taking any bismuth-containing compounds. Physical examination revealed white tonsillar exudates and a black discoloration of the tongue; no fever, adenopathy, or hepatosplenomegaly was noted. The results of a rapid streptococcal-antigen test and a monospot test were negative. A throat culture was positive for Candida albicans. . . . [Full Text of this Article] |
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