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Journal of Clinical Microbiology, August 2005, p. 4269-4271, Vol. 43, No. 8
0095-1137/05/$08.00+0     doi:10.1128/JCM.43.8.4269-4271.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.

CASE REPORT

Molecular Detection of Cellulosimicrobium cellulans as the Etiological Agent of a Chronic Tongue Ulcer in a Human Immunodeficiency Virus-Positive Patient

Beate Heym,1* Pierre Gehanno,2 Véronique Friocourt,1 Marie-Elisabeth Bougnoux,1 Michèle Le Moal,1 Corinne Husson,3 Jacques Leibowitch,4 and Marie-Hélène Nicolas-Chanoine1

Microbiology Department, Hôpital Ambroise Paré, Boulogne, France,1 Oto-rhino-laryngology Department, Hôpital Bichat-Claude Bernard, Paris, France,2 Dermatology Department, Hôpital Tarnier, Paris, France,3 Hematology and Immunology Department, Hôpital Raymond Poincaré, Garches, France4

Received 23 December 2004/ Returned for modification 7 February 2005/ Accepted 19 April 2005

Ulcerations appeared on the tongue of a 48-year-old human immunodeficiency virus-positive man. Histological findings of the biopsy specimen and the fact that the patient had resided in Louisiana led us to suspect "American histoplasmosis." A new ulcer appeared while the patient was being treated with itraconazole, and the gene for 16S rRNA of Cellulosimicrobium cellulans was amplified. The lesions healed during treatment with oral penicillin and azithromycin.

* Corresponding author. Mailing address: Hôpital Ambroise Paré, AP-HP, Faculté de Médecine Paris-Ile de France-Ouest, Université de Versailles Saint-Quentin en Yvelines, 9 avenue Charles de Gaulle, 92100 Boulogne-Billancourt, France. Phone: 33 1 49 09 55 40. Fax: 33 1 49 09 59 21. E-mail: beate.heym{at}apr.ap-hop-paris.fr.

Journal of Clinical Microbiology, August 2005, p. 4269-4271, Vol. 43, No. 8
0095-1137/05/$08.00+0     doi:10.1128/JCM.43.8.4269-4271.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.



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Antimicrob. Agents Chemother. Clin. Microbiol. Rev.
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Copyright © 2005 by the American Society for Microbiology. All rights reserved.