A manifestation of cutaneous aspergillosis in immunocompetent host: A rare presentation as forearm mass lesion

The Aspergillus species is a ubiquitous fungus, which can cause pathogenic and opportunistic fungal infections in the immunocompromised. This is an atypical occurrence in the host with an otherwise normal immune status. We report a case of an immunocompetent 45-year-old patient who developed cutaneo...

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Bibliographic Details
Published in:	Journal de mycologie médicale Vol. 26; no. 1; pp. 51 - 55
Main Authors:	Samal, P., Samal, S., Raulo, B.C., Sahu, M.C.
Format:	Journal Article
Language:	English
Published:	France Elsevier Masson SAS 01-03-2016
Subjects:	Aspergillose Aspergillose cutanée Aspergillosis Aspergillosis - diagnosis Aspergillosis - microbiology Aspergillosis - pathology Aspergillus Aspergillus niger - isolation & purification Avant-bras Biopsy - methods Biopsy, Needle Cutaneous Forearm Humans Hôte immunocompétent Immunocompetence Immunocompetent host Male Middle Aged Mycetoma - diagnosis Mycetoma - microbiology Mycetoma - pathology Hôte immunocompétent Forearm Aspergillose Immunocompetent host Aspergillosis Avant-bras Aspergillose cutanée Cutaneous
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Summary:	The Aspergillus species is a ubiquitous fungus, which can cause pathogenic and opportunistic fungal infections in the immunocompromised. This is an atypical occurrence in the host with an otherwise normal immune status. We report a case of an immunocompetent 45-year-old patient who developed cutaneous aspergillosis with a very benign course presenting simply with a gradually enlarging mass and none of the classical signs and symptoms. All prior laboratory examinations failed to detect or reproduce the organism or establish a diagnosis. Surgery was both diagnostic and therapeutic, to remove the mass which causes the patient pain and limitation of activity. This was to our advantage because the fungal elements were very well encapsulated and the mass was a well-organized conglomeration of cystic abscesses that even prolonged chemotherapy alone might not succeed in eradicating the infection. Aspergillus sp. est un champignon ubiquitaire qui peut être responsable d’infections opportunistes chez l’hôte immuno-compromis. Sa survenue est inhabituelle chez un hôte au statut immunitaire par ailleurs normal. Nous rapportons un cas chez un sujet âgé de 45ans qui a développé une aspergillose cutanée à évolution favorable se présentant uniquement avec une masse augmentant progressivement de volume sans aucun des signes et symptômes classiques. Tous les examens de laboratoire ont échoué pour déceler ou cultiver l’organisme responsable et établir un diagnostic. La chirurgie a permis le diagnostic et le traitement en enlevant la masse responsable de la douleur et de la limitation d’activité. Par chance, les éléments fongiques étaient bien encapsulés et la tuméfaction était un agglomérat d’abcès enkystés bien organisés que même une chimiothérapie seule et prolongée n’aurait sans doute pas réussi à éradiquer.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3 ObjectType-Article-1 ObjectType-Feature-2
ISSN:	1156-5233 1773-0449
DOI:	10.1016/j.mycmed.2015.12.009