Tongue histoplasmosis mimicking malignancy.

A 42 year old male presented with progressive difficulty in swallowing for the past 6 months. Oral examination revealed ulcer on right dorsum of tongue, which was mistaken for malignancy. Histopathology of incision biopsy specimen diagnosed it as histoplasmosis. The patient was put on oral itraconazole therapy and responded well to the treatment.