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Case Reports
. 2016 Oct;181(9-10):759-63.
doi: 10.1007/s11046-016-0031-6. Epub 2016 Jun 21.

The Concept of Ecthyma Gangrenosum Illustrated by a Fusarium oxysporum Infection in an Immunocompetent Individual

Yanping Jiang  1   2 , Abdullah M S Al-Hatmi  3   4   5 , Yining Xiang  6 , Yu Cao  1 , Albert H G Gerrits van den Ende  1 , Ilse Curfs-Breuker  7 , Jacques F Meis  7   8 , Hongguang Lu  9 , G Sybren de Hoog  2   10   11   12
Affiliations
Case Reports

The Concept of Ecthyma Gangrenosum Illustrated by a Fusarium oxysporum Infection in an Immunocompetent Individual

Yanping Jiang et al. Mycopathologia. 2016 Oct.

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.

Keywords: Definition; Ecthyma gangrenosum; Fusarium oxysporum; Immunocompetent.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
a1 Initial infection; a2 After 2 weeks of treatment; b1, b2 KOH mount of the swab collected from the lesion showing fungal hyaline hyphae (magnification, ×40); c1, c2 fungal hyphae seen with H&E stain from the biopsy; d1 growth of white colonies and purple pigmentation on MEA at 25 °C.; d2–d4 septate macroconidia and microconidia. All scale bars 10 μm
See this image and copyright information in PMC

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