Colletotrichum gloeosporioides sensu lato causing deep soft tissue mycosis following a penetrating injury

Melanie Figtree; Kerry Weeks; Leonie Chan; Arda Leyton; Andrew Bowes; Bruno Giuffre; Martin Sullivan; Bernard J Hudson

doi:10.1016/j.mmcr.2013.01.003

Colletotrichum gloeosporioides sensu lato causing deep soft tissue mycosis following a penetrating injury

Med Mycol Case Rep. 2013 Feb 9:2:40-3. doi: 10.1016/j.mmcr.2013.01.003.

Authors

Melanie Figtree¹, Kerry Weeks¹, Leonie Chan¹, Arda Leyton², Andrew Bowes³, Bruno Giuffre⁴, Martin Sullivan⁵, Bernard J Hudson¹

Affiliations

¹ Department of Microbiology and Infectious Disease, Royal North Shore Hospital, Sydney 2065, Australia.
² Department of Laboratory and Community Genetics, Pathology North, Royal North Shore Hospital, Sydney, Australia.
³ Hunters Hill Medical Practice, Hunters Hill 2110, Australia.
⁴ Department of Radiology, Royal North Shore Hospital, Sydney 2065, Australia.
⁵ Department of Orthopaedic Surgery, North Shore Private Hospital, Sydney 2065, Australia.

Abstract

Colletotrichum species have been rarely implicated in human disease. We describe a case of deep soft tissue mycosis following a penetrating injury with a lemon tree thorn. Direct Blankophor BA (Bayer) stain from intraoperative tissue showed fungal elements. Pure growth fungus was apparent at 2-4 days. Morphological features provisionally identified the isolate as a coelomycetous fungus, likely Colletotrichum species. This was confirmed with molecular analysis of the internal transcribed spacer region (ITS) region.

Keywords: Colletotrichum; Deep soft tissue mycosis; Internal transcribed spacer region.