Primary cutaneous aspergillosis caused by Aspergillus.fumigatus in an immunocompetent patient: A case report

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Rationale:Primary cutaneous aspergillosis in immunocompromised patients has been well described in extensive investigations. However, in immunocompetent hosts, primary cutaneous infection of aspergillus occurs rarely, and remains poorly characterized.Patient concerns:We present a case of primary cutaneous aspergillosis manifested by erythematous plague covered with flava eschar.Diagnoses:The patient was diagnosed with primary cutaneous aspergillosis.Interventions:Treatments with oral itraconazole at a dose of 75 mg/d and local wound care with ciclopirox olamine ointment were administered.Outcomes:After half a month, a partial resolution and a decrease in tenderness indicated gradual improvement, and a complete remission was achieved 2 months later.Lessons:Primary cutaneous aspergillosis could occur in immunocompetent hosts. The initial lesions may appear in different forms, including macules, papules, nodules, or plaques. Repeated biopsy of a skin lesion for both culture and histopathology is needed.

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