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Case report
Primary cutaneous Aspergillus fumigatus infection in immunocompetent host
  1. Pradeep Kumar Mada1,
  2. Daniel Alexander Saldaña Koppel2,
  3. Majd Al Shaarani3 and
  4. Andrew Stevenson Joel Chandranesan1
  1. 1Infectious Diseases, Louisiana State University Health Sciences Center Shreveport, Shreveport, Louisiana, USA
  2. 2Internal Medicine, Louisiana State University Health Sciences Center Shreveport, Shreveport, Louisiana, USA
  3. 3Anatomic & Clinical Pathology, Louisiana State University Health Sciences Center Shreveport, Shreveport, Louisiana, USA
  1. Correspondence to Dr Pradeep Kumar Mada; pradeepsomc{at}gmail.com

Abstract

Primary cutaneous aspergillosis (PCA) occurs through inoculation of fungal spores directly into the skin from the environment through disrupted skin such as in burns, surgery or penetrating trauma patients. Most cases reported in literature were in the immunocompromised, rarely in immunocompetent patients. The characteristic lesion of cutaneous aspergillosis is a black eschar on a red plaque, or nodule at the site of skin injury. The diagnosis of PCA can be made by identifying hyphal forms on routine H&E staining or special stains such as periodic acid-Schiff or Gomori methenamine-silver stains on skin biopsy and by fungal cultures. We report a case of an 80-year-old farmer who developed cutaneous aspergillosis after a surgical procedure without any systemic spread. The diagnosis was made by histopathology and tissue fungal cultures. He was treated with incision and drainage followed by oral voriconazole for 4 weeks; which led to clinical recovery.

  • skin
  • pathology
  • exposures
  • dermatological
  • drugs: infectious diseases
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Footnotes

  • Contributors PKM: design of the case report. DASK: data acquisition, analysis and interpretation of the data/images. MA: data acquisition, analysis and interpretation of the data/images. PKM, ASJC: revised the manuscript for intellectual content and finalised it.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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