Hickman Catheter‐associated Primary Cutaneous Aspergillosis in a Patient With the Acquired Immunodeficiency Syndrome

Romero, Laura; Hunt, Steven J.

doi:10.1111/j.1365-4362.1995.tb02951.x

Cited by 20 publications

(13 citation statements)

References 16 publications

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“…Classically, cutaneous aspergillosis has been described as primary or secondary to haematogenous dissemination. Cases of primary aspergillosis in patients with acquired immunodeficiency syndrome have been reported, all of them with a history of maceration of skin from the use of adhesive tape or intravenous catheters 8 . Allo et al .…”

Section: Discussionmentioning

confidence: 99%

“…Cases of primary aspergillosis in patients with acquired immunodeficiency syndrome have been reported, all of them with a history of maceration of skin from the use of adhesive tape or intravenous catheters. 8 Allo et al describe nine patients with underlying haematological malignancy who developed primary cutaneous aspergillosis at the sites of Hickman catheters. 9 In recipients of solid organ transplants, primary cutaneous aspergillosis with clinical manifestations ranging from lesions of macerated skin areas, to infections of the surgical incision in the immediate posttransplantation period, has been described.…”

Section: Discussionmentioning

confidence: 99%

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Cutaneous aspergillosis: a report of six cases

Galimberti

Kowalczuk

Parra

et al. 1998

British Journal of Dermatology

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Skin invasion by Aspergillus is infrequent. We here describe six immunocompromised patients with skin manifestations caused by Aspergillus. A heart transplant recipient developed a primary cutaneous aspergillosis; two patients (one with chronic granulomatous disease and another treated with a high dose of corticosteroids) presented with nodular lesions secondary to haematogenous dissemination; and three patients with acute myelogenous leukaemia had skin dissemination by contiguity from orbit and sinus invasion. A. flavus was isolated in the three cases of leukaemia; the infection was due to A. fumigatus in the transplant recipient; A. fumigatus and A. versicolor were isolated in the patients with the secondary aspergillosis. In most cases, amphotericin B was useful, with clinical and mycological remission in four patients. A patient with leukaemia died without undergoing treatment, and a child carrier of chronic granulomatous disease died after only 12 days of treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Cutaneous aspergillosis: a report of six cases

Galimberti

Kowalczuk

Parra

et al. 1998

British Journal of Dermatology

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“…Acquisition of primary cutaneous infection has been linked to trauma, surgical wounds, and maceration of the skin secondary to tape and catheters [83][84][85][86].…”

Section: Epidemiologymentioning

confidence: 99%

Diagnosis of Aging Skin Diseases

Norman¹,

Kligman²

2008

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“… 1 It has also been reported infrequently in human immunodeficiency virus (HIV)‐infected patients. 2–9 We describe an additional case of a patient with advanced HIV and highlight several important features: a background of intermittent neutropenia, pathology showing selective hair follicle involvement and clinical response to itraconazole. We compare and contrast the features seen in HIV‐related cases with those features seen in other patient groups.…”

Section: Introductionmentioning

confidence: 99%

Human immunodeficiency virus‐related primary cutaneous aspergillosis

2000

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A 31-year-old Caucasian man with AIDS developed a crusted violaceous plaque under adhesive tape near a central venous catheter insertion site. Histological examination demonstrated a ruptured hair follicle containing collections of fungal hyphae typical of Aspergillus spp. A culture of the biopsy material grew Aspergillus fumigatus. The patient responded to removal of the catheter and the occlusive dressing, in addition to itraconazole therapy. Aspergillosis must be considered in the differential diagnosis of cutaneous lesions in human immunodeficiency virus-infected patients, in particular when the lesion occurs under adhesive tape or an occlusive dressing.

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Hickman Catheter‐associated Primary Cutaneous Aspergillosis in a Patient With the Acquired Immunodeficiency Syndrome

Cited by 20 publications

References 16 publications

Cutaneous aspergillosis: a report of six cases

Cutaneous aspergillosis: a report of six cases

Diagnosis of Aging Skin Diseases

Human immunodeficiency virus‐related primary cutaneous aspergillosis

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