VizD Challenge Week of 12/17/24
(click on image to enlarge)
A 55-year-old woman presents to your ED. She has a long history of tobacco use and was recently placed on a broad spectrum antibiotic for sinusitis
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VizD is a weekly contest of an interesting or pathognomonic image from emergency medicine. Its goal is to integrate learning into a fun and relaxed environment. All images are original and are posted with the consent of the patient. For more information please refer to the following link.
9 comments:
lingua nigra
lingua villosa nigra (black hairy tongue)
Tobacco use combined with the broad spectrum antibiotic led to an increase in a type of bacteria or yeast that produces porphyrins, leading to the black appearance. The "hairy" part comes in from an interruption of the normal desquamation of the tongue, combined with increased growth of said bacteria on the papillae.
Black hairy tongue
Ciprofloxacin
Black hairy tongue. Benign condition, caused by a fungus that grows on top of the tongue.
I'm guessing that she has Black Hairy Tongue (Parasitic Glossitis). Either that or she's been licking plenty of vegemite.
thrush with blackening of tongue from smoking.
Is it thrush with staining caused by tobacco use? Now that you have one comment, may we have the answer, please?
Thrush with staining from tobacco use.
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