title: Nonhealing scalp wound infected with Aspergillus niger in an elderly patient.
abstract: Cutaneous aspergillosis is a rare infection most often seen in immunocompromised patients. We report a case of primary cutaneous aspergillosis infection in a nonhealing scalp wound of an immunocompetent elderly patient. The patient had a cutaneous malignancy of the scalp treated with surgical excision but complicated by poor wound healing. Fungal culture of the nonhealing wound revealed Aspergillus niger. The nonhealing wound subsequently resolved with retapamulin ointment 1% and ketoconazole gel 2%.
authors.affiliation: Department of Dermatology, University at Buffalo School of Medicine and Biomedical Sciences, New York, NY, USA. robinsonama@gmail.com
authors.forename: Amanda
authors.initials: A
authors.lastname: Robinson
authors.forename: Sari
authors.initials: S
authors.lastname: Fien
authors.forename: Marcelle A
authors.initials: MA
authors.lastname: Grassi
mesh_terms: D000369:Aged, 80 and over; D000935:Antifungal Agents / Q000008:administration & dosage / Q000627:therapeutic use; D001228:Aspergillosis / Q000175:diagnosis* / Q000188:drug therapy*; D001234:Aspergillus niger; D019086:Bridged Bicyclo Compounds, Heterocyclic / Q000008:administration & dosage / Q000627:therapeutic use; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D003881:Dermatomycoses / Q000175:diagnosis* / Q000188:drug therapy*; D004224:Diterpenes; D005782:Gels; D006258:Head and Neck Neoplasms / Q000601:surgery; D006801:Humans; D007654:Ketoconazole / Q000008:administration & dosage / Q000627:therapeutic use; D008297:Male; D009824:Ointments; D012535:Scalp / Q000382:microbiology* / Q000601:surgery*
chemical_list: D000935:Antifungal Agents; D019086:Bridged Bicyclo Compounds, Heterocyclic; D004224:Diterpenes; D005782:Gels; D009824:Ointments; C508887:retapamulin; D007654:Ketoconazole