Primary cutaneous aspergillosis in a patient with cutaneous T-cell lymphoma.
We present a case of primary cutaneous aspergillosis caused by Aspergillus terreus in a patient with cutaneous T-cell lymphoma. A 41-year-old woman bruised her left shin and presented with a 1 x 2 cm ecchymosis on the upper third of the left shin for over 6 months. Before mycological examination and sequential biopsies, the patient was erroneously treated with antibiotics and local debridement. After final diagnosis of cutaneous aspergillosis caused by A. terreus cutaneous T-cell lymphoma on the basis of mycological, histopathological and immunohistochemical findings, the patient responded well to oral itraconazole and chemotherapy for over 1 month.
Yuanjie
Zhu
Z
Department of Dermatology and Mycology Center, Changzheng Hospital, Second Military Medical University, Shanghai, China.
Jingxia
Du
D
Hai
Wen
W
Jianghan
Chen
C
Julin
Gu
G
D000328:Adult; D000935:Antifungal Agents / Q000627:therapeutic use; D001228:Aspergillosis / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D001230:Aspergillus / Q000302:isolation & purification*; D003881:Dermatomycoses / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D005260:Female; D006801:Humans; D017964:Itraconazole / Q000627:therapeutic use; D016410:Lymphoma, T-Cell, Cutaneous / Q000150:complications*
D000935:Antifungal Agents; D017964:Itraconazole