National Academy of Agricultural Sciences (NAAS)
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PRINT ISSN : 2319-7692
Online ISSN : 2319-7706 Issues : 12 per year Publisher : Excellent Publishers Email : editorijcmas@gmail.com / submit@ijcmas.com Editor-in-chief: Dr.M.Prakash Index Copernicus ICV 2018: 95.39 NAAS RATING 2020: 5.38 |
Cutaneous involvement in aspergillosis is an uncommon entity. It usually occurs secondary to hematogenous spread from pulmonary infections in immunocompromised patients. Primary infection occurs at site of skin injury following trauma, burn, surgery or intravenous cannulation. As per literature, cutaneous aspergillosis is rarely seen in immunocompetent patients. Common causes reported for cutaneous aspergillosis are A. fumigatus and A. flavus. Here we report an unusual case of 25 years old immunocompetent male with primary cutaneous aspergillosis. A 25 years old male, presented with multiple ulcers over face including upper and lower eyelid and right cheek. The ulcers were non healing and painful. Initially topical and systemic antibiotics were given but patient did not respond. Then biopsy sample of these ulcers was sent to microbiological lab for bacterial and fungal culture. In KOH mount, thin branched, septate hyphae were seen. In gram staining only pus cells were seen but no bacteria reported. Bacterial culture was negative. Based on these finding antifungal treatment was started. A. flavus was identified after one week of fungal culture. Patient responded clinically after antifungal treatment. Cutaneous Aspergillosis although rare entity should be suspected in long standing skin ulcers, which show no response to routine antibacterial treatment. Early diagnosis and antifungal treatment can reduces morbidity and systemic spread in such patients.
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