A Case of Primary Cutaneous Aspergillosis of the Dorsum of Hand Due to Aspergillus niger Manifested by Edematous Lesion / 대한의진균학회지

ABSTRACT

Aspergillus is the most ubiquitous fungi found in soil, water and decaying vegetation. It commonly affects immunocompromised individuals and in primary cutaneous aspergillosis, the skin is directly inoculated of spores by intravenous catheters, trauma and surgery. Primary cutaneous aspergillosis is a rare entity, mostly caused by Aspergillus(A) flavus, A. fumigatus, and rarely, by A. niger. And clinically, the lesion is usually characterized by macules, papules, nodules or plaques. In our case, a 71-year-old male visited with erythmeatous swollen patch and two ulcers on the dorsum of left hand. There was no other associated medical illness except diabetes mellitus and gastric ulcer, and no history of trauma or invasive procedure. The skin biopsy and the culture of cutaneous lesions confirmed the diagnosis of primary cutaneous aspergillosis by A. niger. Herein, we report a rare case of primary cutaneous aspergillosis due to A. niger manifestated by edematous lesion.