Antibiotic woman develops 'black hairy tongue'



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A woman treated with antibiotics developed a condition called black hairy tongue. After changing treatment, her tongue returned to normal.

New England Journal of Medicine

A woman treated with antibiotics as a result of a car accident has developed an unusual side effect: the black hairy tongue. (Caution: graphic image below.)

The 55-year-old woman was involved in a car accident where her two legs were crushed, according to details published by the New England Journal of Medicine.

After developing an infection, she was treated with two antibiotics: an oral dose of minocycline and meropenem administered intravenously. A week later, she developed a "black discoloration of the tongue", as well as nausea and a bad taste in the mouth.

The most common side effects associated with both antibiotics include nausea, vomiting or diarrhea.

Black hairy tongue is a condition where small bumps on your tongue become larger and change to a black-brown color. In the pictures showing a case of black hairy tongue, the condition seems to indicate that small hairs are sitting on the person's tongue.

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A case of black hairy tongue.

New England Journal of Medicine

Yasir Hamad and David K. Warren, doctors at the University of Washington in St. Louis, say that several factors can cause black hairy tongue, including bad oral hygeine, irritating tobacco or mouthwashes, or antibiotic treatments .

Four weeks after the doctors released minocycline for alternative treatment, her tongue returned to normal.

Follow Brett Molina on Twitter: @ brettmolina23.

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