International Journal of Clinical & Medical Images

We report the case of a 45-year-old female patient, non-smoking, who has a colon cancer for which she received chemotherapy by capecitabine. The patient presented three weeks after the first cure, a burning pain on the tongue with a bad taste sensation. The clinical examination found a blackish color on the tongue corresponding to the villous black tongue (Figure 1). A swab of the tongue and throat was taken and the bacteriological examination came back negative. The patient received a treatment based on mouthwashes by sodium bicarbonate, combined with twice-daily oral hygiene with scraping and brushing the back of the tongue. The evolution was favorable.