Mycobiology.
2019 Sep;47(3):340-345. 10.1080/12298093.2019.1628521.
Bisifusarium Delphinoides, an Emerging Opportunistic Pathogen in a Burn Patient with Diabetes Mellitus
- Affiliations
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- 1Translational Research Division, Biomedical Institute of Mycological Resource, International St. Mary's Hospital and College of Medicine, Catholic Kwandong University, Incheon, Korea. sung97330@gmail.com
- 2Department of Pathology, International St. Mary's Hospital, Catholic Kwandong University, Incheon, Korea.
- 3Department of Laboratory Medicine, International St. Mary's Hospital, Catholic Kwandong University, Incheon, Korea. lmkjy7@gmail.com
- 4Department of Microbiology, College of Medicine, Catholic Kwandong University, Gangneung-si, Gangwon-do, Korea.
- KMID: 2470146
- DOI: http://doi.org/10.1080/12298093.2019.1628521
Abstract
- An 82-year-old man with diabetes was admitted to the emergency department with a third-degree burn on his left leg. The deep swab specimen from his left leg was cultured on Sabouraud dextrose agar without cycloheximide and incubated at 25 °C for 5 days. On the basis of morphological characteristics and multigene phylogenetic analyses of the internal transcribed spacer region of ribosomal DNA and partial fragments of beta-tubulin and translation elongation factor 1-alpha, the causal agent of fungal skin infection was identified as Bisifusarium delphinoides, which was newly introduced by accommodating a Fusarium dimerum species complex. Thus, we describe here the first case of skin infection caused by B. delphinoides on a burn patient with diabetes mellitus based on morphological observation and molecular analysis.
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