Aspergillosis of the palatine tonsil

Aspergillosis of the palatine tonsils is extremely rare. Immunodeficiency is an important risk factor for causing aspergillosis. The diagnosis of aspergillosis of the palatine tonsil may be overlooked in immunocompetent patients as it is often seen in immunocompromised. This lesion often mimics to the malignancy or premalignant lesion. Awareness of this lesion is required among the clinician for early treatment which depends on accurate diagnosis. Isolated aspergillosis of the palatine tonsils invariably responds well to antifungal therapy with the eradication of the risk factors. The definitive diagnosis is usually done by tissue biopsy and histopathological examination. Here, we reported a case of isolated aspergillosis of the palatine tonsil without involving the other parts of the pharynx and larynx and without any generalized immune deficits in a 42-year-old male. The patient was treated by antifungal agents.