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Cutaneous Infection Caused by Plant Pathogen Colletotrichum gloeosporioides

Li-Yu Lin, MD, MPH1; Chao-Chun Yang, MD, PhD2,3; Jau-Yn Wan, BS4; Tsung Chain Chang, PhD5; Julia Yu-Yun Lee, MD2
[+] Author Affiliations
1Yuan Dermatology Clinic, Taichung, Taiwan
2Department of Dermatology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan
3International Research Center for Wound Repair and Regeneration, National Cheng Kung University, Tainan, Taiwan
4Department of Pathology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan
5Department of Medical Laboratory Science and Biotechnology, College of Medicine, National Cheng Kung University, Tainan, Taiwan
JAMA Dermatol. 2015;151(12):1383-1384. doi:10.1001/jamadermatol.2015.2102.
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This case report describes the occurrence of a cutaneous infection caused by plant pathogen Colletotrichum gloeosporioides that was successfully treated with oral itraconazole.

Colletotrichum species are common pathogens for plant anthracnose but have recently emerged as a human opportunistic pathogen causing keratitis and subcutaneous fungal infection, which potentially can lead to life-threatening systemic dissemination.14 Therefore, early recognition and intervention with debridement and systemic antifungal treatment are required to reduce the morbidity and mortality. Herein we described a case of cutaneous fungal infection by Colletotrichum gloeosporioides.

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Clinical, Pathologic, and Mycologic Manifestations of Colletotrichum gloeosporioides Infection

A, Colletotrichumgloeosporioides infection manifests as multiple necrotic ulcerations with hemorrhagic crusts and eschar formation on the right leg. B, No presence of pigmented fungal elements. C, Cylindrical conidia and pigmented clavate appressoria.

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