A 24-year-old man presented with black discoloration and hairy appearance of his tongue

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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. Which one of following is typically associated with this finding?
  • Bulimia
  • Recent endotracheal intubation
  • Acquired immunodeficiency syndrome
  • Treatment with a sulfonylurea
  • Candida albicans infection








 
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Correct Answers :  Candida albicans infection
Explanation :
Black hairy tongue (lingua villosa nigra) may be associated with the presence of chromogenic organisms (e.g., C. albicans) and the use of certain medications (e.g., doxycycline and bismuth). The pathophysiology is thought to be due to proliferation of the filiform papillae of the tongue, which stain black with porphyrin-producing chromogenic bacteria or yeast.


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