Información adicional

• Num_publicacion 78(3-4)
• Resumen_ingles

  Black hairy tongue is a tongue papillary hypertrophy that acquires a hairy appearance due to the keratin cluster as well as a blackish colour because of the proliferation of pigmented bacteria. It is a benign process of unknown etiology. The antibiotic use is the most commonly involved etiologic factor. Its appearance is anecdotal in pediatric age range.
  In this article, the case of a 2 month old breastfed baby with a black lesion on a whitish base in the tongue, firstly diagnosed with oral candidiasis, will be described. The antifungal treatment wasn’t successful. The results of the bacterial and fungal cultures were negative.
  The patient remained asymptomatic and the lesion improved progressively. Black hairy tongue was diagnosed. Its diagnosis is clinical. It is essential to do a differential diagnosis with oral candidiasis as well as with dark pigmentation due to food or drug ingestion, congenital lingual melanotic macule and oral hairy leukoplakia. It is a self-limited case that can improve with the use of queratinolitic substances.

• Palabras_clave_ingles Tongue hairly infant child oral candidiasis
• Todos_autores C. Bermejo Fernández¹, C. Coronel Rodríguez², M.A. Sánchez Romero¹³, M.C. Guisado Rasco⁴
• autores listados C. Bermejo Fernández, C. Coronel Rodríguez, M.A. Sánchez Romero, M. Ruiz Pérez de Pipaón, M.C. Guisado Rasco
• Titulo_ingles Not everything is oral candidiasis
• Centros_trabajo ¹Médico interno residente de Pediatría. Unidad de Pediatría. Hospital Universitario Virgen del Rocío. Sevilla. ² Pediatra EBAP. Centro de Salud Amante Laffón. Distrito Sanitario de AP. Sevilla. ³Doctor en Microbiología. Unidad Clínica de Enfermedades Infecciosas, Microbiología y Medicina Preventiva. Hospital Universitario Virgen del Rocío. Sevilla. ⁴Médico de Familia. Centro de Salud Mercedes Navarro. Distrito Sanitario de AP. Sevilla
• Publicado en Acta Pediatr Esp. 2020; 78(3-4): e111-e113
• copyright ©2020 Ediciones Mayo, S.A.
• Tipo de Artículo Clínico (Microdatos) Case Reports