Aspergillus, Fungal Infection, Deep, Immunodeficiency, Acquired - DermAtlas

Contributor

Bernard Cohen, MD

Diagnosis

Aspergillus fungal infection, deep immunodeficiency, acquired

Body Site

hand

Age

4 years

Pigmentation

light

Organization

Color

red white/hypo

Morphology

plaqulous (plaque / nodule / tumor)

Pattern

asymmetric

Comments

This febrile 4 year old boy developed a painful expanding plaque on the back of his left hand. He was aplastic with an absolute neutrophil count of 0 after completing an induction course of chemotherapy for leukemia. The plaque began at the site of an infiltrated intravenous catheter that was occluded with a semipermeable dressing. A biopsy revealed necrotic epidermis and dermis with fungal organisms invading vascular structures. The plaque was subsequently excised and grafted with good healing and no evidence of residual fungal infection.

Description

tender expanding edematous red plaque with central necrotic bulla

Image Added

6/18/2002 22:30:00

Translate

Other Resources

PubMed Medline Plus Medscape

Image Options

View Image in New Window