Sporotrichoid aspergillosis in an immunocompromised child: a case report and review of the literature.
Primary cutaneous aspergillosis is an uncommon, opportunistic infection. Atypical presentations have recently emerged with the expanding range of primary and acquired diseases that cause immunosuppression. Primary cutaneous aspergillosis may invade the deep lymphatic structures and present in a sporotrichoid pattern. In pediatric patients with an otherwise normal previous medical history, primary cutaneous aspergillosis should raise the suspicion of an immunodeficiency and prompt referral to immunology and infectious disease specialists should be made. Early diagnosis and management of primary cutaneous aspergillosis prevents invasive aspergillosis, minimizing morbidity and mortality in the immunocompromised patients.
Section of Dermatology, Division of Paediatric Medicine, Hospital for Sick Children, Toronto, Ontario, Canada. maloupalmero@yahoo.com
Maria Lourdes
ML
Palmero
Elena
E
Pope
Jason
J
Brophy
D000935:Antifungal Agents / Q000627:therapeutic use; D001228:Aspergillosis / Q000175:diagnosis / Q000188:drug therapy / Q000276:immunology*; D002675:Child, Preschool; D003881:Dermatomycoses / Q000175:diagnosis / Q000188:drug therapy / Q000276:immunology*; D006105:Granulomatous Disease, Chronic / Q000150:complications / Q000276:immunology*; D006801:Humans; D016867:Immunocompromised Host; D008297:Male
D000935:Antifungal Agents