White Fungus

Due to severe burning sensation and dysphagia, a 73-year-old male patient with a history of geriatric depression, peripheral neuropathy, urinary incontinence, chronic constipation, and vascular disease sought a teleconsultation. The patient had been admitted to the hospital after confirming her SARS-CoV-2 infection via polymerase chain reaction (PCR) testing seventeen days ago.

The patient was given azithromycin (Zithromax), levofloxacin (Uniloxam), rivaroxaban (Xarelto), and lactoferrin during his 15-day stay in primary care (Pravotin). After his respiratory and gastrointestinal symptoms were under control, the patient was discharged from the hospital and sent home for isolation, although his PCR result remained positive.

Present Condition

Three days after being discharged from the hospital, the patient began to experience throbbing pain in her tongue and oropharynx. His son sent pictures of the newly formed white spots in his mouth.

Examination

The patient began to experience throbbing pain in his tongue and oropharynx three days after being discharged from the hospital. His son sent pictures of the new white spots in his father's mouth. The tongue coating was friable and not bleeding; however, the patient complained of a bitter taste while eating, most likely due to bleeding.