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Therefore, the favored functional niche of LigB may well be early in infection, particularly during cutaneous entry.
The cutaneous entry site is the predominant route of colonization for short-term central vein catheters (< 15 to 20 days), especially in ICU patients, whereas the endoluminal route, resulting from hub contamination, predominates for long-term central vein catheters [ 1].
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Dermal abrasions offered cutaneous portals of entry.
A cutaneous portal of entry is occasionally reported.
Of 21 cases of IF, 14 showed a primary cutaneous portal of entry.
By contrast, 14 (66.7%) of the 21 IF cases in our study had a cutaneous portal of entry.
However, a cutaneous portal of entry cannot be excluded as the patient and his General Practitioner reported chronic ulcerations of both feet.
The incidence of IF with a cutaneous portal of entry was 0.43 per 1,000 admissions in period 1 and 6.99 per 1,000 admissions in period 2 (p<0.001).
Our results showed that interdigital intertrigo was as common as onychomycosis, occurring in 7 of the 14 cases with a cutaneous portal of entry.
Anthrax, caused by Bacillus anthracis, has traditionally been known in three clinical entities depending on the route of entry; cutaneous, gastrointestinal or inhalational anthrax [ 1].
We also found a high incidence of a cutaneous portal of entry for IF, which is in sharp contrast with what had been previously reported.
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