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Jiang Y, Al-Hatmi AMS, Xiang Y, Cao Y, van den Ende AHGG, Curfs-Breuker I, Meis JF, Lu H, de Hoog GS. The Concept of Ecthyma Gangrenosum Illustrated by a Fusarium oxysporum Infection in an Immunocompetent Individual. Mycopathologia 2016; 181:759-63. [PMID: 27324372 PMCID: PMC5014892 DOI: 10.1007/s11046-016-0031-6] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2016] [Accepted: 06/13/2016] [Indexed: 12/14/2022]
Abstract
Ecthyma gangrenosum (EG) involves necrotic cutaneous lesions caused by bacteria, mainly Pseudomonas aeruginosa, and is usually seen in immunocompromised patients with septicemia. However, clinically similar infections have been published with fungi as etiologic agents. We present a case of an EG-like lesion due to Fusarium oxysporum confirmed by clinical diagnosis, culture and molecular identification and discuss the definition of EG.
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Affiliation(s)
- Yanping Jiang
- Department of Dermatology, The Affiliated Hospital, Guizhou Medical University, PO Box 550001, 4 Beijing Road, Guiyang, China
- CBS-KNAW Fungal Biodiversity Centre, PO Box 85167, 3508 AD, Utrecht, The Netherlands
| | - Abdullah M S Al-Hatmi
- CBS-KNAW Fungal Biodiversity Centre, PO Box 85167, 3508 AD, Utrecht, The Netherlands.
- Institute of Biodiversity and Ecosystem Dynamics, University of Amsterdam, Amsterdam, The Netherlands.
- Directorate General of Health Services, Ibri Hospital, Ministry of Health, Muscat, Oman.
| | - Yining Xiang
- Departments of Pathology, The Affiliated Hospital, Guizhou Medical University, Guiyang, China
| | - Yu Cao
- Department of Dermatology, The Affiliated Hospital, Guizhou Medical University, PO Box 550001, 4 Beijing Road, Guiyang, China
| | - Albert H G Gerrits van den Ende
- Department of Dermatology, The Affiliated Hospital, Guizhou Medical University, PO Box 550001, 4 Beijing Road, Guiyang, China
| | - Ilse Curfs-Breuker
- Department of Medical Microbiology and Infectious Diseases, Canisius Wilhelmina Hospital, Nijmegen, The Netherlands
| | - Jacques F Meis
- Department of Medical Microbiology and Infectious Diseases, Canisius Wilhelmina Hospital, Nijmegen, The Netherlands
- Department of Medical Microbiology, Radboud University Medical Centre, Nijmegen, The Netherlands
| | - Hongguang Lu
- Department of Dermatology, The Affiliated Hospital, Guizhou Medical University, PO Box 550001, 4 Beijing Road, Guiyang, China.
| | - G Sybren de Hoog
- CBS-KNAW Fungal Biodiversity Centre, PO Box 85167, 3508 AD, Utrecht, The Netherlands
- Institute of Biodiversity and Ecosystem Dynamics, University of Amsterdam, Amsterdam, The Netherlands
- Basic Pathology Department, Federal University of Paraná State, Curitiba, Paraná, Brazil
- Biology Department, Faculty of Science, King Abdulaziz University, Jeddah, Saudi Arabia
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