Liu X, Yang J, Ma W. Primary cutaneous aspergillosis caused by Aspergillus.fumigatus in an immunocompetent patient: A case report.
Medicine (Baltimore) 2017;
96:e8916. [PMID:
29310381 PMCID:
PMC5728782 DOI:
10.1097/md.0000000000008916]
[Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
RATIONALE
Primary cutaneous aspergillosis in immunocompromised patients has been well described in extensive investigations. However, in immunocompetent hosts, primary cutaneous infection of aspergillus occurs rarely, and remains poorly characterized.
PATIENT CONCERNS
We present a case of primary cutaneous aspergillosis manifested by erythematous plague covered with flava eschar.
DIAGNOSES
The patient was diagnosed with primary cutaneous aspergillosis.
INTERVENTIONS
Treatments with oral itraconazole at a dose of 75 mg/d and local wound care with ciclopirox olamine ointment were administered.
OUTCOMES
After half a month, a partial resolution and a decrease in tenderness indicated gradual improvement, and a complete remission was achieved 2 months later.
LESSONS
Primary cutaneous aspergillosis could occur in immunocompetent hosts. The initial lesions may appear in different forms, including macules, papules, nodules, or plaques. Repeated biopsy of a skin lesion for both culture and histopathology is needed.
Collapse