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A 55-year-old patient complaining of nausea and a bad taste in her mouth was actually suffering from a rare condition called "black hairy tongue".
A case report published in the New England Journal of Medicine indicates that the patient, who was not identified by her name, saw her tongue go black after receiving medication for a bacterial infection.
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The patient was admitted to hospital after a serious motorcycle injury that injured both her legs. According to the report, the patient developed a bacterial infection and was treated with intravenous meropenem and oral minocycline. She reported her nausea and other symptoms about a week after the start of minocycline.
"The black hairy tongue, resulting from treatment with minocycline, was suspected," report report authors. "The black hairy tongue is a benign condition characterized by hypertrophy and elongation of filiform papillae on the surface of the tongue, with brown-black discoloration."
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The authors noted that this may be due to poor oral hygiene, the use of tobacco or irritating mouthwashes and antibiotic agents. The condition is reversible and, in this case, the patient has recovered within four weeks of stopping the minocycline. Doctors advised him to continue practicing good oral hygiene.
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