Primary cutaneous aspergillosis mimicking dermatophytosis.

Abstract:

:We recently reviewed a skin biopsy specimen obtained from a child with acute monocytic leukemia that demonstrated abundant mycelia present within a keratin plug of a hair follicle, a granulomatous dermal inflammatory infiltrate, and focal dermal invasion by fungi. These histologic findings were suggestive of an invasive dermatophyte infection; however, Aspergillus flavus was identified by culture. This case illustrates the need for care in interpreting biopsy specimens of cutaneous fungal infection in the immunocompromised host, since proper treatment is determined by the specific agent present. The morphological features of fungi in tissue sections and histopathologic patterns of host response in the immunocompromised patient may be misleading in trying to identify fungal pathogens. At present, culture is the most reliable method for identifying pathogenic fungi and should be utilized to confirm appropriate therapy.

journal_name

Arch Pathol Lab Med

authors

Googe PB,DeCoste SD,Herold WH,Mihm MC Jr

subject

Has Abstract

pub_date

1989-11-01 00:00:00

pages

1284-6

issue

11

eissn

0003-9985

issn

1543-2165

journal_volume

113

pub_type

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