Isolated lingual mucormycosis in an infant with Down syndrome

by Subhaschandra Shetty, MS, DNB, Usha Kini, MD, DCP, DNB, and Rajeev Joy, MBBS, DLO | Tuesday, January 01, 2008

IntroductionMucormycosis involving the orofacial region and gastrointestinal tract is often seen in patients with protein-calorie malnutrition. Orofacial manifestations of mucormycosis are rare. When they do occur, they are usually characterized by palatal ulcer and perforation, chronic maxillary or mandibular infection, chronic oral ulceration, eye lesions, or diffuse swelling of the face; these findings are often seen in patients with diabetic ketoacidosis, acquired immunodeficiency syndrome, and lymphoproliferative diseases.1,2 Lingual involvement by mucormycosis is extremely rare; to the best of our knowledge, only 1 case has been previously reported in the world literature.3 In this article, we describe a case of isolated invasive lingual mucormycosis in an infant with Down syndrome. The presence of mucormycosis at rare sites such as the tongue might not be diagnosed at the first visit if the physician is unaware of such a possibility.Case reportA 4-month-old girl with Down .../continued/

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