title: Cutaneous Necrotic Papule as Invasive Aspergillosis in a Heart Transplant Patient.
abstract: A 46-year-old African American man presented with a 3- to 4-day history of a new painful lesion on his left lower extremity. Other reported symptoms included a productive cough and chest pain; the patient denied fever and chills. His medical history was significant for a heart transplant 4 months prior to presentation followed by transplant rejection 2 weeks after the transplant. Medications included an antirejection/immunosuppressive regimen consisting of prednisone, tacrolimus, mycophenolate mofetil, and prophylaxis treatment with valganciclovir and trimethoprim-sulfamethoxazole.
authors: NorthShore University HealthSystem.
authors: Edidiong C N
authors: EC
authors: Kaminska
authors: Section of Dermatology, University of Chicago Pritzker School of Medicine, Chicago, IL.
authors: Susan
authors: S
authors: Pei
authors: Section of Dermatology, University of Chicago Pritzker School of Medicine, Chicago, IL.
authors: Sonya
authors: S
authors: Kenkare
authors: Section of Dermatology, University of Chicago Pritzker School of Medicine, Chicago, IL.
authors: Vesna
authors: V
authors: Petronic-Rosic
authors: Section of Dermatology, University of Chicago Pritzker School of Medicine, Chicago, IL; tsoukasm@uic.edu.
authors: Maria M
authors: MM
authors: Tsoukas
mesh_terms: D001228:Aspergillosis / Q000175:diagnosis* / Q000473:pathology; D016027:Heart Transplantation / Q000379:methods*; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D009336:Necrosis / Q000209:etiology; D009894:Opportunistic Infections / Q000175:diagnosis* / Q000473:pathology; D012867:Skin / Q000382:microbiology / Q000473:pathology*
chemical_list: D007166:Immunosuppressive Agents