Primary Cutaneous Aspergillosis in an Immunocompetent Patient

  • Chubado Tahir
  • Musa Garbati
  • Haruna A Nggada
  • Edith H. Terna Yawe
  • Auwal M Abubakar

Abstract

We present a 32-year-old woman with primary cutaneous aspergillosis and an apparently normal immune status. She is a dietitian who carried out research on Aspergillus contamination of palm oil over a six-month period, during which she apparently shaved her axillae and perineum using a safety razor blade. She presented with nodular lesions, which became extensive ulcers after an attempt at incision and drainage. Diagnosis was based on culture and histology. The patient was treated with itraconazole 200 mg twice a day, with surgical excision and a rhomboid flap cover of the axillae. She has remained disease-free five years after discharge. This highlights the likely benefits of a combination of surgical excision and drug therapy, in achieving a cure in this patient.

Keywords: Aspergillus, cutaneous, immunocompetent, surgery

Journal of Surgical Technique and Case Report | Jul-Dec 2011 | Vol-3 | Issue-2

Author Biographies

Chubado Tahir
Department of Surgery, University of Maiduguri Teaching Hospital, P. O. Box 4088, Maiduguri, Maiduguri, Nigeria
Musa Garbati
Department of Medicine, Infectious Disease Unit, College of Medical Sciences, University of Maiduguri, University of Maiduguri Teaching Hospital, Maiduguri, Nigeria
Haruna A Nggada
Department of Histopathology, College of Medical Sciences, University of Maiduguri, University of Maiduguri Teaching Hospital, Maiduguri, Nigeria
Edith H. Terna Yawe
Department of Surgery, University of Maiduguri Teaching Hospital, P. O. Box 4088, Maiduguri, Maiduguri, Nigeria
Auwal M Abubakar
Department of Surgery, Pediatric Surgery Unit, College of Medical Sciences, University of Maiduguri, University of Maiduguri Teaching Hospital, Maiduguri, Nigeria
Section
Articles

eISSN: 2006-8808