title: Primary cutaneous aspergillosis and idiopathic bone marrow aplasia.
abstract: We describe the case of a 9-year-old boy with idiopathic bone marrow aplasia and severe neutropenia, who developed skin ulcers under cardiac monitoring electrodes. The diagnosis of primary cutaneous aspergillosis was made after the second biopsy and culture. Imaging investigation did not reveal internal fungal infection. The child was treated, but did not improve and died 3 months after admission. The report highlights and discusses the preventable risk of aspergillus skin infection in immunocompromised patients.
authors.affiliation: Hospital Público Estadual do Estado de São Paulo (HSPE) - São Paulo (SP), Brazil.
authors.forename: Karina Colossi
authors.initials: KC
authors.lastname: Furlan
authors.affiliation: Complexo Hospital de Padre Bento de Guarulhos - Guarulhos (SP), Brazil.
authors.forename: Mario Cezar
authors.initials: MC
authors.lastname: Pires
authors.affiliation: Hospital Público Estadual do Estado de São Paulo (HSPE) - São Paulo (SP), Brazil.
authors.forename: Priscila
authors.initials: P
authors.lastname: Kakizaki
authors.affiliation: Hospital Regional de Santa Maria - Brasília (DF), Brazil.
authors.forename: Juliana Cabral Nunes
authors.initials: JC
authors.lastname: Chartuni
authors.affiliation: Hospital Público Estadual do Estado de São Paulo (HSPE) - São Paulo (SP), Brazil.
authors.forename: Neusa Yuriko Sakai
authors.initials: NY
authors.lastname: Valente
mesh_terms: D000741:Anemia, Aplastic / Q000150:complications / Q000276:immunology*; D001228:Aspergillosis / Q000150:complications / Q000382:microbiology* / Q000473:pathology; D001234:Aspergillus niger / Q000302:isolation & purification*; D002648:Child; D003881:Dermatomycoses / Q000150:complications / Q000382:microbiology* / Q000473:pathology; D004566:Electrodes / Q000009:adverse effects; D017809:Fatal Outcome; D006801:Humans; D025301:Hyphae / Q000302:isolation & purification; D008297:Male; D009336:Necrosis; D009503:Neutropenia / Q000150:complications; D012883:Skin Ulcer / Q000382:microbiology* / Q000473:pathology