Cutaneous aspergillosis: a report of six cases
Skin invasion by Aspergillus is infrequent. We here describe six immunocompromised patients with skin manifestations caused by Aspergillus. A heart transplant recipient developed a primary cutaneous aspergillosis; two patients (one with chronic granulomatous disease and another treated with a high d...
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| Veröffentlicht in: | British journal of dermatology (1951) 1998-09, Vol.139 (3), p.522-526 |
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| container_title | British journal of dermatology (1951) |
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| creator | GALIMBERTI, R KOWALCZUK, A HIDALGO PARRA, I GONZALEZ RAMOS, M FLORES, V |
| description | Skin invasion by Aspergillus is infrequent. We here describe six immunocompromised patients with skin manifestations caused by Aspergillus. A heart transplant recipient developed a primary cutaneous aspergillosis; two patients (one with chronic granulomatous disease and another treated with a high dose of corticosteroids) presented with nodular lesions secondary to haematogenous dissemination; and three patients with acute myelogenous leukaemia had skin dissemination by contiguity from orbit and sinus invasion. A. flavus was isolated in the three cases of leukaemia; the infection was due to A. fumigatus in the transplant recipient; A. fumigatus and A. versicolor were isolated in the patients with the secondary aspergillosis. In most cases, amphotericin B was useful, with clinical and mycological remission in four patients. A patient with leukaemia died without undergoing treatment, and a child carrier of chronic granulomatous disease died after only 12 days of treatment. |
| doi_str_mv | 10.1046/j.1365-2133.1998.02424.x |
| format | Article |
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We here describe six immunocompromised patients with skin manifestations caused by Aspergillus. A heart transplant recipient developed a primary cutaneous aspergillosis; two patients (one with chronic granulomatous disease and another treated with a high dose of corticosteroids) presented with nodular lesions secondary to haematogenous dissemination; and three patients with acute myelogenous leukaemia had skin dissemination by contiguity from orbit and sinus invasion. A. flavus was isolated in the three cases of leukaemia; the infection was due to A. fumigatus in the transplant recipient; A. fumigatus and A. versicolor were isolated in the patients with the secondary aspergillosis. In most cases, amphotericin B was useful, with clinical and mycological remission in four patients. 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We here describe six immunocompromised patients with skin manifestations caused by Aspergillus. A heart transplant recipient developed a primary cutaneous aspergillosis; two patients (one with chronic granulomatous disease and another treated with a high dose of corticosteroids) presented with nodular lesions secondary to haematogenous dissemination; and three patients with acute myelogenous leukaemia had skin dissemination by contiguity from orbit and sinus invasion. A. flavus was isolated in the three cases of leukaemia; the infection was due to A. fumigatus in the transplant recipient; A. fumigatus and A. versicolor were isolated in the patients with the secondary aspergillosis. In most cases, amphotericin B was useful, with clinical and mycological remission in four patients. A patient with leukaemia died without undergoing treatment, and a child carrier of chronic granulomatous disease died after only 12 days of treatment.</description><subject>Aged</subject><subject>Aspergillosis - immunology</subject><subject>Aspergillosis - pathology</subject><subject>Aspergillus</subject><subject>Aspergillus flavus</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Dermatomycoses - immunology</subject><subject>Dermatomycoses - pathology</subject><subject>Female</subject><subject>Human mycoses</subject><subject>Humans</subject><subject>Immunocompromised Host</subject><subject>Infectious diseases</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mycoses</subject><subject>Mycoses of the skin</subject><subject>Opportunistic Infections - immunology</subject><subject>Opportunistic Infections - pathology</subject><issn>0007-0963</issn><issn>1365-2133</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1Lw0AQhhdRaq3-BCGIiJfEmZ3tblbwoPWbghc9L9tkV1LSpmYbbP-9iS09ePC0L7wPw-w8jEUICYKQV9MESQ5jjkQJap0mwAUXyWqP9XfFPusDgIpBSzpkRyFMAZBgCD3W00qqNvZZMmqWdu6qJkQ2LFz9WZRlFYpwHdmodouqXkaVj0KxijIbXDhmB96WwZ1s3wH7eHx4Hz3H47enl9HtOM4ECBFrid7lSso89zpNibwTEyGFG6o2Uy6tdOQxU4Re5w4daZ-LyYRjqlSKQAN2sZm7qKuvxoWlmRUhc2W52dUoQExJduDlvyAK0pwTB92iZ3_QadXU8_YbhreHEhJ_odMt1ExmLjeLupjZem22B2v7821vQ2ZLX9t5VoQdxknBMBUtdrPBvovSrXc1gun0manpLJnOkun0mV99ZmXuXu-7RD8MIYqS</recordid><startdate>199809</startdate><enddate>199809</enddate><creator>GALIMBERTI, R</creator><creator>KOWALCZUK, A</creator><creator>HIDALGO PARRA, I</creator><creator>GONZALEZ RAMOS, M</creator><creator>FLORES, V</creator><general>Blackwell Science Ltd</general><general>Blackwell</general><general>Oxford University Press</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7T5</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>M7N</scope><scope>7X8</scope></search><sort><creationdate>199809</creationdate><title>Cutaneous aspergillosis: a report of six cases</title><author>GALIMBERTI, R ; KOWALCZUK, A ; HIDALGO PARRA, I ; GONZALEZ RAMOS, M ; FLORES, V</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4044-961fed766ddf98833fe4b464e5733f3d6a6e3f1c731f9de1e39fd4bb218778103</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Aged</topic><topic>Aspergillosis - immunology</topic><topic>Aspergillosis - pathology</topic><topic>Aspergillus</topic><topic>Aspergillus flavus</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Dermatomycoses - immunology</topic><topic>Dermatomycoses - pathology</topic><topic>Female</topic><topic>Human mycoses</topic><topic>Humans</topic><topic>Immunocompromised Host</topic><topic>Infectious diseases</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mycoses</topic><topic>Mycoses of the skin</topic><topic>Opportunistic Infections - immunology</topic><topic>Opportunistic Infections - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>GALIMBERTI, R</creatorcontrib><creatorcontrib>KOWALCZUK, A</creatorcontrib><creatorcontrib>HIDALGO PARRA, I</creatorcontrib><creatorcontrib>GONZALEZ RAMOS, M</creatorcontrib><creatorcontrib>FLORES, V</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of dermatology (1951)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>GALIMBERTI, R</au><au>KOWALCZUK, A</au><au>HIDALGO PARRA, I</au><au>GONZALEZ RAMOS, M</au><au>FLORES, V</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cutaneous aspergillosis: a report of six cases</atitle><jtitle>British journal of dermatology (1951)</jtitle><addtitle>Br J Dermatol</addtitle><date>1998-09</date><risdate>1998</risdate><volume>139</volume><issue>3</issue><spage>522</spage><epage>526</epage><pages>522-526</pages><issn>0007-0963</issn><eissn>1365-2133</eissn><coden>BJDEAZ</coden><abstract>Skin invasion by Aspergillus is infrequent. We here describe six immunocompromised patients with skin manifestations caused by Aspergillus. A heart transplant recipient developed a primary cutaneous aspergillosis; two patients (one with chronic granulomatous disease and another treated with a high dose of corticosteroids) presented with nodular lesions secondary to haematogenous dissemination; and three patients with acute myelogenous leukaemia had skin dissemination by contiguity from orbit and sinus invasion. A. flavus was isolated in the three cases of leukaemia; the infection was due to A. fumigatus in the transplant recipient; A. fumigatus and A. versicolor were isolated in the patients with the secondary aspergillosis. In most cases, amphotericin B was useful, with clinical and mycological remission in four patients. A patient with leukaemia died without undergoing treatment, and a child carrier of chronic granulomatous disease died after only 12 days of treatment.</abstract><cop>Oxford BSL</cop><pub>Blackwell Science Ltd</pub><pmid>9767305</pmid><doi>10.1046/j.1365-2133.1998.02424.x</doi><tpages>5</tpages></addata></record> |
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| source | MEDLINE; AUTh Library subscriptions: Oxford University Press; Wiley Online Library Journals Frontfile Complete |
| subjects | Aged Aspergillosis - immunology Aspergillosis - pathology Aspergillus Aspergillus flavus Biological and medical sciences Child Dermatomycoses - immunology Dermatomycoses - pathology Female Human mycoses Humans Immunocompromised Host Infectious diseases Male Medical sciences Middle Aged Mycoses Mycoses of the skin Opportunistic Infections - immunology Opportunistic Infections - pathology |
| title | Cutaneous aspergillosis: a report of six cases |
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