Oral Localized Lesion on the Tongue in an Immunocompetent Individual: A Report of a Rare Case With a Comprehensive Review of the Literature.

Histoplasmosis (HP) is a sporadic deep fungal disease that rarely shows oral lesions in various clinical forms. It is usually associated with immunocompromised states, but oral HP has also been reported in many immunocompetent individuals. An unusual case of focal oral HP in a 65-year-old immunocompetent male is reported from New Delhi, India (non-endemic region) presenting with oral ulcerative lesions on the floor of the mouth and lateral surface of the tongue. This case report highlights the importance of prompt diagnosis for the success of the treatment of oral HP along with a thorough review of the literature on HP in immunocompetent patients with oral manifestations. The average age of immunocompetent patients with oral HP is 49.65 years with a marked male predilection. The most common intraoral site is the tongue, followed by the gingiva. Also, five intraosseous cases of HP in immunocompetent patients are reported, among which four are seen in patients from Africa and in a much younger age group (mean: 17.25 years).

Change in the Role of HR during the Pandemic

Management is done by the people, for the people and through the people. The uncertainty created by covid 19, has substantially affected the life of everyone. The well settled way of 'working' or 'managing' at physical workplace with a defined way of doing/managing things have got totally disturbed. Everything has gone 'online' from 'working' to 'controlling'. All human resources are affected , be it employer or employee. On the one side, mentally unhealthy employees are struggling hard how to work online, whereas, on the other side, managers are equally unaware as to how to manage such staff. The work life balance of people have got totally disturbed during ongoing pandemic. All this has raised lot of challenges not only for employees but also for Human Resource managers. The present paper is an attempt to discuss the change in the role of HR manager to combat the challenges imposed by the prevailing crisis, to manage the most precious resource of the organisations, the 'Human Resource'.