Korean J Dermatol.  1996 Apr;34(2):350-354.

Primary Cutaneous Aspergillosis from the Burn Wound of a Diabetic Patient

• Lee JB
• Lee SC
• Won YH
• Chun IK

Abstract

A 68 year-old man with uncontrolled diabetes mellitus was presented with a single 4 * 2.5cm sized undermined purulent ulcer with a black eschar surrounded by erythematous indurated plaques on the dorsurn of the his left foot. Fungal hyphae were found in the deep dermis of the skin biopsy specimen. Aspergillus flavus was cultured and isolated by repeated fungal cultures from the pus and tissue pieees of skin biopsy specimens. Wide surgical debridement followed by a skin graft, and adjuvant antifungal treatment applied twice did not cure the skin lesion. We report a case of cutaneous aspergillosis showing a poor outcome in spite of surgical therapy and antifungal medication.

Keyword

Primary cutaneous aspergillosis; Burn wound; Diabetes mellitus

MeSH Terms

Aged
Aspergillosis*
Aspergillus flavus
Biopsy
Burns*
Debridement
Dermis
Diabetes Mellitus
Foot
Humans
Hyphae
Skin
Suppuration
Transplants
Ulcer
Wounds and Injuries*