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He presented a slightly verrucous, erythematous plaque on his right auricle which had gradually extended over a 10\u2010year period, and the patient reported a history of dog flea sting before onset of the lesions. Diagnosis was based on histopathological and mycological examination of clinical samples, which revealed muriform cells. Identification of the aetiological agent was assessed by morphological characteristics and confirmed at species level by sequencing of the <jats:styled-content style=\"fixed-case\">rDNA<\/jats:styled-content> internal transcribed spacer (<jats:styled-content style=\"fixed-case\">ITS<\/jats:styled-content>). The patient showed marked clinical improvement after 3 months combination therapy with itraconazole and terbinafine. The possible mode of transmission of auricular chromoblastomycosis is discussed.<\/jats:p>","DOI":"10.1111\/myc.12523","type":"journal-article","created":{"date-parts":[[2016,6,23]],"date-time":"2016-06-23T05:35:30Z","timestamp":1466660130000},"page":"662-667","source":"Crossref","is-referenced-by-count":12,"title":["A case of chromoblastomycosis by <i>Fonsecaea nubica<\/i> indicating a possible insect route of transmission"],"prefix":"10.1111","volume":"59","author":[{"given":"Yingdan","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Dermatology Third Affiliated Hospital Sun Yat\u2010sen University Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Songchao","family":"Yin","sequence":"additional","affiliation":[{"name":"Department of Dermatology Third Affiliated Hospital Sun Yat\u2010sen University Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meirong","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Dermatology Third Affiliated Hospital Sun Yat\u2010sen University Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rongzhang","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Dermatology Third Affiliated Hospital Sun Yat\u2010sen University Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ling","family":"Wei","sequence":"additional","affiliation":[{"name":"Department of Dermatology Third Affiliated Hospital Sun Yat\u2010sen University Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Han","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Dermatology Third Affiliated Hospital Sun Yat\u2010sen University Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuwen","family":"Deng","sequence":"additional","affiliation":[{"name":"Shanghai Institute of Medical Mycology Changzheng Hospital Second Military Medical University Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gert Sybren","family":"de Hoog","sequence":"additional","affiliation":[{"name":"Shanghai Institute of Medical Mycology Changzheng Hospital Second Military Medical University Shanghai China"},{"name":"CBS\u2010KNAW Fungal Biodiversity Centre Utrecht The Netherlands"},{"name":"Institute for Biodiversity and Ecosystem Dynamics University of Amsterdam Amsterdam The Netherlands"},{"name":"Research Center for Medical Mycology Peking University Health Science Center Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Lai","sequence":"additional","affiliation":[{"name":"Department of Dermatology Third Affiliated Hospital Sun Yat\u2010sen University Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chun","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Dermatology Third Affiliated Hospital Sun Yat\u2010sen University Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peiying","family":"Feng","sequence":"additional","affiliation":[{"name":"Department of Dermatology Third Affiliated Hospital Sun Yat\u2010sen University Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,6,22]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/13693780802538001"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0036-46652015000700009"},{"key":"e_1_2_6_4_1","volume-title":"Atlas of Clinical Fungi","author":"Hoog GS","year":"2015"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.3201\/eid1703.100555"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.3109\/13693780903503081"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mmcr.2015.08.001"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/1346-8138.12898"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.00637-15"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13225-013-0246-5"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.funbio.2011.06.007"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11046-011-9396-8"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.riam.2010.11.006"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-280X.1998.00116.x"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0036-46651994000400014"},{"key":"e_1_2_6_16_1","first-page":"93","article-title":"Chromomycosis with unusual location. 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