Cymothoa exigua, the tongue-eating louse, is a parasitic isopod of the family Cymothoidae. It enters a fish through the gills. The female attaches to the tongue, while the male attaches to the gill arches beneath and behind the female. Females are 8–29 mm (0.3–1.1 in) long and 4–14 mm (0.16–0.55 in) wide. Males are about 7.5–15 mm (0.3–0.6 in) long and 3–7 mm (0.12–0.28 in) wide. The parasite severs the blood vessels in the fish's tongue, causing the tongue to fall off (necrosis). It then attaches itself to the remaining stub of tongue and the parasite itself effectively serves as the fish's new "tongue".
Many species of Cymothoa have been identified, and only cymothoid isopods are known to consume and replace the host's organs. Other species of isopods known to parasitize fish in this way include C. borbonica and Ceratothoa imbricata. Different cymothoid genera are adapted to specific areas of attachment on the host. This includes scale-clingers, mouth- or gill-dwellers, and flesh-burrowers.
