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Letters to the Editor Candida dubliniensis was first reported in 1995 as a pathogen causing oral candidiasis in patients with AIDS. 1 Although a rare pathogen, it causes disseminated candidiasis, fungemia, fungal keratitis, spondylodiscitis, catheter-related blood stream infections and endocarditis in immunocompromised patients. 2 Thus far, there has been one report of cutaneous abscess caused by C. dubliniensis with uncontrolled diabetes. 2 C. dubliniensis and Candida albicans share many phenotypical characteristics. Therefore, it is difficult to distinguish between these pathogens. Owing to easy access to genetic testing or MALDI-TOF MS, an increasing number of C. dubliniensis infections have been reported. 3 Even in patients in whom C. dubliniensis is isolated and cultured from skin lesions, it is necessary to histopathologically confirm the presence of fungal elements and perform repeated cultures to determine C. dubliniensis as the true pathogen.
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