{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T15:19:02Z","timestamp":1788448742537,"version":"build-2803163510"},"reference-count":18,"publisher":"BMJ","issue":"10","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,8,5]]},"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:p>We present the case of a patient with multiple comorbidities, including cirrhosis, poorly controlled diabetes mellitus and HIV infection, who was diagnosed with skin and soft-tissue infection of right lower limb. Outcome was poor after prescribing standard antibiotic therapy, and we finally obtained isolation of <jats:italic>Candida tropicalis<\/jats:italic> in cultures of infected tissue. The patient\u2019s condition improved after antifungal treatment was started, and he could be discharged with oral therapy. Here, we report the literature\u2019s first case of cellulitis provoked by <jats:italic>C. tropicalis<\/jats:italic> in a patient with cirrhosis.<\/jats:p>","DOI":"10.1136\/bcr-2020-241539","type":"journal-article","created":{"date-parts":[[2021,10,1]],"date-time":"2021-10-01T10:30:15Z","timestamp":1633084215000},"page":"e241539","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["<i>Candida tropicalis<\/i> cellulitis in a patient with cirrhosis, well-controlled HIV and diabetes"],"prefix":"10.1136","volume":"14","author":[{"given":"Andrea","family":"Guti\u00e9rrez Villanueva","sequence":"first","affiliation":[{"name":"HIV Infection Unit, Internal Medicine Department, Hospital Universitario Puerta de Hierro Majadahonda, Majadahonda, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"D\u00edaz de Santiago","sequence":"additional","affiliation":[{"name":"HIV Infection Unit, Internal Medicine Department, Hospital Universitario Puerta de Hierro Majadahonda, Majadahonda, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernanado","family":"Mart\u00ednez Vera","sequence":"additional","affiliation":[{"name":"HIV Infection Unit, Internal Medicine Department, Hospital Universitario Puerta de Hierro Majadahonda, Majadahonda, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"De la Fuente Moral","sequence":"additional","affiliation":[{"name":"HIV Infection Unit, Internal Medicine Department, Hospital Universitario Puerta de Hierro Majadahonda, Majadahonda, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,10,1]]},"reference":[{"key":"2025082802141796000_14.10.e241539.1","doi-asserted-by":"publisher","DOI":"10.1038\/nrmicro2537"},{"key":"2025082802141796000_14.10.e241539.2","doi-asserted-by":"crossref","DOI":"10.1128\/microbiolspec.DMIH2-0014-2015","article-title":"Skin and soft tissue infections","volume":"4","author":"Moffarah","year":"2016","journal-title":"Microbiol Spectr"},{"key":"2025082802141796000_14.10.e241539.3","first-page":"267","article-title":"Cutaneous candidiasis in Tehran-Iran: from epidemiology to multilocus sequence types, virulence factors and antifungal susceptibility of etiologic Candida species","volume":"11","author":"Sadeghi","year":"2019","journal-title":"Iran J Microbiol"},{"key":"2025082802141796000_14.10.e241539.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2011.06.028"},{"key":"2025082802141796000_14.10.e241539.5","doi-asserted-by":"publisher","DOI":"10.7861\/clinmedicine.18-2-160"},{"key":"2025082802141796000_14.10.e241539.6","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1016\/j.ad.2018.07.010","article-title":"An update on the treatment and management of cellulitis","volume":"110","author":"Ortiz-Lazo","year":"2019","journal-title":"Actas Dermosifiliogr"},{"key":"2025082802141796000_14.10.e241539.7","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciy576"},{"key":"2025082802141796000_14.10.e241539.8","unstructured":"Spelman D , Baddour LM . Cellulitis and skin abscess: epidemiology, microbiology, clinical manifestations, and diagnosis, 2020."},{"key":"2025082802141796000_14.10.e241539.9","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciu444"},{"key":"2025082802141796000_14.10.e241539.10","doi-asserted-by":"crossref","DOI":"10.1016\/j.idcr.2019.e00691","article-title":"Rapidly progressive necrotizing cellulitis secondary to Candida tropicalis infection in an immunocompromised host","volume":"19","author":"Krishnan","year":"2020","journal-title":"IDCases"},{"key":"2025082802141796000_14.10.e241539.11","doi-asserted-by":"publisher","DOI":"10.1111\/j.1574-6976.2011.00278.x"},{"key":"2025082802141796000_14.10.e241539.12","doi-asserted-by":"crossref","first-page":"354","DOI":"10.1097\/QCO.0000000000000378","article-title":"Approach to skin and soft tissue infections in non-HIV immunocompromised hosts","volume":"30","author":"Burke","year":"2017","journal-title":"Curr Opin Infect Dis"},{"key":"2025082802141796000_14.10.e241539.13","doi-asserted-by":"publisher","DOI":"10.3389\/fmicb.2016.02173"},{"key":"2025082802141796000_14.10.e241539.14","doi-asserted-by":"crossref","first-page":"4311","DOI":"10.3748\/wjg.v24.i38.4311","article-title":"Management of bacterial and fungal infections in end stage liver disease and liver transplantation: current options and future directions","volume":"24","author":"Righi","year":"2018","journal-title":"World J Gastroenterol"},{"key":"2025082802141796000_14.10.e241539.15","doi-asserted-by":"crossref","DOI":"10.4103\/2277-9175.191003","article-title":"Frequency of cutaneous fungal infections and azole resistance of the isolates in patients with diabetes mellitus","volume":"6","author":"Raiesi","year":"2017","journal-title":"Adv Biomed Res"},{"key":"2025082802141796000_14.10.e241539.16","first-page":"204","article-title":"Primary cutaneous Candida tropicalis infection in a patient with B-cell lymphoma","volume":"93","author":"Schram","year":"2014","journal-title":"Cutis"},{"key":"2025082802141796000_14.10.e241539.17","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-91-4-539"},{"key":"2025082802141796000_14.10.e241539.18","doi-asserted-by":"crossref","first-page":"56","DOI":"10.3390\/antibiotics8020056","article-title":"Current issues and perspectives in patients with possible sepsis at emergency departments","volume":"8","author":"Charitos","year":"2019","journal-title":"Antibiotics"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-241539","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:14:29Z","timestamp":1756372469000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-241539"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10]]},"references-count":18,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2021,10,1]]},"published-print":{"date-parts":[[2021,10]]}},"alternative-id":["10.1136\/bcr-2020-241539"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-241539","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10]]}}}