{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T14:09:01Z","timestamp":1785247741923,"version":"3.55.0"},"reference-count":7,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,7,14]]},"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:p>\n                    Diabetic foot ulcers are predominantly attributed to bacterial aetiologies, but invasive fungal infections are an increasingly recognised opportunistic threat in immunocompromised patients. We present the case of a male farmer in his 30s with uncontrolled diabetes who developed a worsening necrotic ulcer on the left tibia following agricultural trauma. Despite treatment with broad-spectrum antibiotics, the wound deteriorated, exhibiting a central black eschar. Deep tissue biopsy revealed hyaline septate hyphae and fungal culture confirmed\n                    <jats:italic>Fusarium oxysporum<\/jats:italic>\n                    , identified by characteristic banana-shaped macroconidia. Management required a multimodal limb-salvage approach involving strict glycaemic control, dual antifungal therapy with liposomal amphotericin B and voriconazole and aggressive serial surgical debridement. Complete healing was achieved after 5\u2009months without amputation. This case highlights the importance of suspecting fungal aetiology in antibiotic-refractory diabetic wounds, particularly in patients with occupational soil exposure.\n                  <\/jats:p>","DOI":"10.1136\/bcr-2026-273614","type":"journal-article","created":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T13:30:20Z","timestamp":1785245420000},"page":"e273614","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Invasive\n                    <i>Fusarium oxysporum<\/i>\n                    infection mimicking recalcitrant bacterial cellulitis in a diabetic foot ulcer"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-5994-0082","authenticated-orcid":false,"given":"Tanuja Bakul","family":"Javadekar","sequence":"first","affiliation":[{"name":"Microbiology, Smt BK Shah Medical Institute & Research Centre, Waghodia, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-4192-2704","authenticated-orcid":false,"given":"Nidhi Parit","family":"Rana","sequence":"additional","affiliation":[{"name":"General Surgery, Smt BK Shah Medical Institute & Research Centre, Waghodia, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-4212-8968","authenticated-orcid":false,"given":"Parit Rakeshkumar","family":"Rana","sequence":"additional","affiliation":[{"name":"Microbiology, Smt BK Shah Medical Institute & Research Centre, Waghodia, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,7,28]]},"reference":[{"key":"2026072806300991000_19.7.e273614.1","doi-asserted-by":"crossref","first-page":"479","DOI":"10.18231\/j.ijmr.12137.1763613786","article-title":"A study of prevalence, spectrum, and risk factors of invasive fungal infection in critically ill patients attending a tertiary care center","volume":"12","author":"Paul","year":"2025","journal-title":"IJMR"},{"key":"2026072806300991000_19.7.e273614.2","doi-asserted-by":"crossref","first-page":"037","DOI":"10.4103\/0974-2727.66710","article-title":"Fusarium solani: An Emerging Fungus in Chronic Diabetic Ulcer","volume":"2","author":"Pai","year":"2010","journal-title":"J Lab Physicians"},{"key":"2026072806300991000_19.7.e273614.3","doi-asserted-by":"crossref","first-page":"19","DOI":"10.3390\/jof3020019","article-title":"Antifungal Susceptibility Testing of Fusarium: A Practical Approach","volume":"3","author":"Al-Hatmi","year":"2017","journal-title":"JoF"},{"key":"2026072806300991000_19.7.e273614.4","doi-asserted-by":"publisher","DOI":"10.3201\/eid1910.120847"},{"key":"2026072806300991000_19.7.e273614.5","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1177\/1534734619879030","article-title":"Fusarium spp.-An Emerging Pathogen in Chronic Diabetic Ulcer: Case Report and Review of the Literature","volume":"20","author":"Jo\u00e3o","year":"2021","journal-title":"Int J Low Extrem Wounds"},{"key":"2026072806300991000_19.7.e273614.6","doi-asserted-by":"crossref","first-page":"e37","DOI":"10.25270\/wnds\/2022.e37e41","article-title":"Treatment of Fusarium Osteomyelitis in a Diabetic Foot Ulcer Complicated by Antineoplastic Chemotherapy","volume":"34","author":"Strom","year":"2022","journal-title":"Wounds"},{"key":"2026072806300991000_19.7.e273614.7","doi-asserted-by":"crossref","DOI":"10.3390\/jof3020019","article-title":"Antifungal Susceptibility Testing of Fusarium: A Practical Approach","volume":"3","author":"Al-Hatmi","year":"2017","journal-title":"J Fungi (Basel)"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2026-273614","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T13:30:26Z","timestamp":1785245426000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2026-273614"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":7,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2026,7,28]]},"published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1136\/bcr-2026-273614"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2026-273614","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]}}}