부종을 동반하여 손등에 발생한 Aspergillus niger 원발성 피부감염
A Case of Primary Cutaneous Aspergillosis of the Dorsum of Hand Due to Aspergillus niger Manifested by Edematous Lesion
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Aspergillus is the most ubiquitous fungi found in soil, water and decaying vegetation. It commonly affects immunocompromised individuals and in primary cutaneous aspergillosis, the skin is directly inoculated of spores by intravenous catheters, trauma and surgery. Primary cutaneous aspergillosis is a rare entity, mostly caused by Aspergillus(A) flavus, A. fumigatus, and rarely, by A. niger. And clinically, the lesion is usually characterized by macules, papules, nodules or plaques. In our case, a 71-year-old male visited with erythmeatous swollen patch and two ulcers on the dorsum of left hand. There was no other associated medical illness except diabetes mellitus and gastric ulcer, and no history of trauma or invasive procedure. The skin biopsy and the culture of cutaneous lesions confirmed the diagnosis of primary cutaneous aspergillosis by A. niger. Herein, we report a rare case of primary cutaneous aspergillosis due to A. niger manifestated by edematous lesion.
Abstract
Aspergillus is the most ubiquitous fungi found in soil, water and decaying vegetation. It commonly affects immunocompromised individuals and in primary cutaneous aspergillosis, the skin is directly inoculated of spores by intravenous catheters, trauma and surgery. Primary cutaneous aspergillosis is a rare entity, mostly caused by Aspergillus(A) flavus, A. fumigatus, and rarely, by A. niger. And clinically, the lesion is usually characterized by macules, papules, nodules or plaques. In our case, a 71-year-old male visited with erythmeatous swollen patch and two ulcers on the dorsum of left hand. There was no other associated medical illness except diabetes mellitus and gastric ulcer, and no history of trauma or invasive procedure. The skin biopsy and the culture of cutaneous lesions confirmed the diagnosis of primary cutaneous aspergillosis by A. niger. Herein, we report a rare case of primary cutaneous aspergillosis due to A. niger manifestated by edematous lesion.
참고문헌 (21)
- Chong YS, "Cutaneous aspergillosis", Kor J Med Mycol, 7, pp.6~13 (2002)
- Kang JD, "A case of primary cutaneous infection of the burn scar by Aspergillus niger", Kor J Med Mycol, 7, pp.97~101 (2002)
- Lacey MT, "Primary cutaneous aspergillosis in a patient with a solid organ transplant: Case report and review of the literature", Cutis, 81, pp.127~130 (2008)
- Bohler K, "Cutaneous aspergillosis", Clin Exp Dermatol, 15, pp.446~450 (1990)
- 서종근, "신장이식 환자에서 발생한 피부 침범을 보인 침습성 아스페르길루스증 1예", 대한피부과학회지, 47(10), pp.1190~1192 (2009), 대한피부과학회
- Choe JH, "A case of primary cutaneous aspergillosis in a leukemic child", Korean J Pediatr Hematol Oncol, 5, pp.188~193 (1998)
- Kim DS, "Iatrogenic subcutaneous aspergillosis in a patient with lumbar spondylitis treated with ketoconazole", Korean J Dermatol, 25, pp.643~648 (1987)
- Nam IW, "Primary cutaneous aspergillosis in a patient with breast carcinoma", Korean J Dermatol, 25, pp.797~801 (1987)
- Kwon HJ, "A case of primary disseminated cutaneous aspergillosis in chronic active hepatitis", Korean J Dermatol, 33, pp.172~178 (1995)
- Lee MS, "A case of primary cutaneous aspergillosis", Kor J Med Mycol, 1, pp.107~111 (1996)
- Kong SD, "A case of primary cutaneous aspergillosis in acute lymphocytic leukemic child", Korean J Dermatol, 37, pp.1061~1064 (1999)
- Jung SY, "Primary cutaneous aspergillosis in a leukemic child", Korean J Dermatol, 30, pp.211~216 (1992)
- Lee JB, "Primary cutaneous aspergillosis from the burn wound of a diabetic patient", Korean J Dermatol, 34, pp.350~354 (1996)
- 김기훈, "급성 림프구성 백혈병 환자에서 발생한 원발성 피부 아스페르길루스증 1예", 대한피부과학회지, 40(12), pp.1581~1583 (2002), 대한피부과학회
- 정의현, "A Case of Primary Cutaneous Scar Infection Caused by Aspergillus niger", Annals of Dermatology, 26(5), pp.659~660 (2014), 대한피부과학회
- Dong Min Kim, "Fingernail Onychomycosis Due to Aspergillus niger", Annals of Dermatology, 24(4), pp.459~463 (2012), 대한피부과학회
- Lee BJ, "Two cases of onychomycosis Due to Aspergillus repens", Korean J Dermatol, 19, pp.881~883 (1981)
- Suh SB, "A case of onychomycosis caused by Aspergillus sydowi", Korean J Dermatol, 6, pp.39~43 (1968)
- 조현민, "원발성 피부 아스페르길루스증 1예", 대한피부과학회지, 44(7), pp.852~854 (2006), 대한피부과학회
- Grossman ME, "Primary cutaneous aspergillosis in six leukemic children", J Am Acad Dermatol, 12, pp.313~318 (1985)
- Walsh TJ, "Treatment of aspergillosis: clinical practice guidelines of the Infectious Diseases Society of America", Clin Infect Dis, 46, pp.327~360 (2008)