A 70-years old coffee farmer from the Venezuelan Andes suffered a stomatitis for several months. He lost weight in the last weeks, had fever, a nasty cough, and loss of appetite. At the inside of the lips a flat ulcer was seen surrounded by a diffusely reddened and swollen mucosa. The patient died 6 days after being hospitalized. Fungi were found in smears from the oral mucosa and in the markedly enlarged suprarenals.